RICHARD FAIRFAX PELL IV (NPI# 1891770194) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891770194 |
| Entity Type | Individual |
| Full Name | RICHARD FAIRFAX PELL IV |
| Credential | M.D. |
| Practice Address |
925 Ne 30th Ter Suite 102 Homestead FL 33033-7613 |
| Practice Telephone | 3052471701 |
| Practice Fax Number | 3052471799 |
| Mailing Telephone | 3052471701 |
| Mailing Fax Number | 3052471799 |
| Enumeration Date | 2005-12-08 |
| Last Update Date | 2013-05-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | ME96926 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS | 92026 | 01 |
| FL | 277567100 | 05 | |
| VISTA | SG082540 | 01 | |
| FL | AVMED | 305551 | 01 |
| Street Address |
925 NE 30TH TER SUITE 102 |
| City | HOMESTEAD |
| State | FL |
| Zip Code | 33033-7613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942206701 | Theodore Alfred Evans | Orthopaedic Surgery | 925 Ne 30th Ter, Suite 102, Homestead, FL 33033 | 2005-06-24 |
| 1548647894 | Maximiliano Velasco Md Pa | Anesthesiology | 925 Ne 30th Ter, Suite # 206, Homestead, FL 33033-7613 | 2015-05-06 |
| 1437557006 | Homestead Cancer Institute LLC | Internal Medicine | 925 Ne 30th Ter, Suite 300, Homestead, FL 33033-7613 | 2014-12-15 |
| 1114344561 | Aids Healthcare Foundation | Clinic/Center | 925 Ne 30th Ter, Suite 310, Homestead, FL 33033-7613 | 2014-03-24 |
| 1679902696 | South Florida International Orthopaedics Pa | Orthopaedic Surgery | 925 Ne 30th Ter, Unit 102, Homestead, FL 33033-7613 | 2013-11-12 |
| 1932449899 | Pediatric Dental Center of Homestead | Dentist | 925 Ne 30th Ter, Suite 302, Homestead, FL 33033-7613 | 2013-02-28 |
| 1538458153 | Mario Gomez Md Pa | Obstetrics & Gynecology | 925 Ne 30th Ter, Suite 300, Homestead, FL 33033-7613 | 2011-04-05 |
| 1124348420 | Angela C Infantas | Nurse Practitioner | 925 Ne 30th Ter, Suite 210, Homestead, FL 33033-7613 | 2010-06-09 |
| 1053547703 | Mabel Coro | Dentist | 925 Ne 30th Ter, Ste 110, Homestead, FL 33033-7613 | 2009-06-09 |
| 1255565529 | Ayumi Minami | Nurse Practitioner | 925 Ne 30th Ter, Suite 202, Homestead, FL 33033-7613 | 2009-05-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003451832 | Rodolfo Sigler | Pharmacist | 1499 South Dixie Highway, Homestead, FL 33033 | 2019-11-15 |
| 1891337119 | Ricardo Saez | Nurse Practitioner | 2936 Se 3rd Street, Homestead, FL 33033 | 2019-10-09 |
| 1164904876 | Mayrelis Rodriguez Chaviano | Behavior Technician | 1510 E Mowry Dr Apt 107, Homestead, FL 33033 | 2018-08-30 |
| 1598252470 | Mcdivitt Arnold | Community/Behavioral Health | 945 Ne 34 Ave, 104, Homestead, FL 33033 | 2018-04-17 |
| 1972007870 | Anaivys Gomez Abreu | Behavior Technician | 1504 E Mowry Dr Apt 101, Homestead, FL 33033 | 2018-03-23 |
| 1023519261 | Lifeway Programs LLC | Community/Behavioral Health | 15300 Sw 288th St, Homestead, FL 33033 | 2018-02-22 |
| 1447759964 | Yaneisis Salazar Barata | Physical Therapy Assistant | 31 N Krome, Homestead, FL 33033 | 2018-02-10 |
| 1184132763 | C.o.r. Injury Centers of Homestead Inc. | Clinic/Center | 15600 Sw 288th Street, Homestead, FL 33033 | 2018-01-17 |
| 1790299949 | Aidalis Hechavarria | Behavior Technician | 1548 Ne 8th St Apt 105, Homestead, FL 33033 | 2017-11-27 |
| 1053839621 | Generosa E Gonzalez | Behavior Technician | 30322 Sw 161 Ave, Homestead, FL 33033 | 2017-09-05 |
| Find all providers in zip 33033 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619189487 | Joseph Ovadia | Orthopaedic Surgery | 100 Ne 15th Street, Suite 102, Homestead, FL 33030 | 2007-05-04 |
| 1548310311 | Derek Francis Papp | Orthopaedic Surgery | 975 Baptist Way Ste 202, Homestead, FL 33033-7600 | 2007-01-11 |
| 1942206701 | Theodore Alfred Evans | Orthopaedic Surgery | 925 Ne 30th Ter, Suite 102, Homestead, FL 33033 | 2005-06-24 |
| 1679902696 | South Florida International Orthopaedics Pa | Orthopaedic Surgery | 925 Ne 30th Ter, Unit 102, Homestead, FL 33033-7613 | 2013-11-12 |
| 1710992318 | Richard S Glosser Md Pa | Orthopaedic Surgery | 941 N Krome Ave, Homestead, FL 33030-4408 | 2006-07-30 |
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| 1659980654 | Gulfcoast Spine Institute, Pa | Orthopaedic Surgery | 439 S Florida Ave Ste 300, Lakeland, FL 33801-5212 | 2020-07-24 |
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| 1912529868 | Edward Frank Spievack | Orthopaedic Surgery | 30 W High Point Rd, Stuart, FL 34996-7020 | 2020-05-14 |
| 1497377907 | Musculoskeletal Institute Chartered | Orthopaedic Surgery | 11286 Boyett Rd, Suite 101, Riverview, FL 33569 | 2020-05-07 |
| 1942829429 | Orthopaedic Specilaists of The Palm Beaches | Orthopaedic Surgery | 130 Jfk Dr Ste 136, Atlantis, FL 33462-6631 | 2020-04-14 |
| 1174156848 | Musculoskeletal Institute Chartered | Orthopaedic Surgery | 10141 Big Bend Rd Ste 201, Riverview, FL 33578-7421 | 2020-02-20 |
| 1104459874 | Musculoskeletal Institute Chartered | Orthopaedic Surgery | 1901 Haverford Ave Ste 107, Sun City Center, FL 33573-5200 | 2020-02-20 |
| 1518590314 | Musculoskeletal Institute Chartered | Orthopaedic Surgery | 8839 Bryan Dairy Rd Ste 240, Largo, FL 33777-1208 | 2020-02-20 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.