NORTH BROWARD HOSPITAL DISTRICT (NPI# 1902173297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902173297 |
| Entity Type | Organization |
| Organization Name | NORTH BROWARD HOSPITAL DISTRICT |
| Other Organization Name | BH PHYSICIANS MAIN |
| Practice Address |
789 S Federal Hwy Suite 106 Fort Lauderdale FL 33316-1245 |
| Mailing Address |
1608 Se 3rd Ave Third Floor Pbo Fort Lauderdale FL 33316-2564 |
| Practice Telephone | 9546898088 |
| Practice Fax Number | 9546898147 |
| Mailing Telephone | 9548474273 |
| Enumeration Date | 2011-11-30 |
| Last Update Date | 2017-01-24 |
| Authorized Official Name | KEVIN FUSCO (INTERIM PRESIDENT/CEO) |
| Authorized Official Telephone | 9544737100 |
| Is Organization Subpart | Y |
| Parent Organization Name | NORTH BROWARD HOSPITAL DISTRICT |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS | 00020 | 01 |
| FL | 253794056 | 05 |
| Other Name | Type Code |
|---|---|
| BH Physicians Main | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881212744 | North Broward Hospital District | Internal Medicine | 817 S University Dr Ste 104, Plantation, FL 33324-3345 | 2020-07-08 |
| 1447898580 | North Broward Hospital District | Orthopaedic Surgery | 3100 Coral Hills Dr Ste 202, Coral Springs, FL 33065-4139 | 2019-12-19 |
| 1417440991 | North Broward Hospital District | Internal Medicine | 1 W Sample Rd Ste 208, Pompano Beach, FL 33064-3547 | 2018-06-11 |
| 1942692298 | North Broward Hospital District | Psychiatry & Neurology | 50 E Sample Road, Suite 200, Pompano Beach, FL 33064-3550 | 2015-02-24 |
| 1063847341 | North Broward Hospital District | Clinic/Center | 2300 N Commerce Pkwy Ste 110, Weston, FL 33326-3255 | 2013-09-05 |
| 1558700849 | North Broward Hospital District | Family Medicine | 3896 N. Federal Highway, Lighthouse Point, FL 33064 | 2013-06-19 |
| 1952740458 | North Broward Hospital District | Internal Medicine | 1811 N Pine Island Rd, Plantation, FL 33322-5207 | 2013-06-18 |
| 1780922716 | North Broward Hospital District | Clinic/Center | 1811 N. Pine Island Road, Plantation, FL 33322 | 2013-01-25 |
| 1558644690 | North Broward Hospital District | Family Medicine | 6333 N Federal Hwy Ste 225, Fort Lauderdale, FL 33308-1913 | 2011-09-26 |
| 1114164282 | North Broward Hospital District | Family Medicine | 1625 Se 3rd Ave Ste 610, Fort Lauderdale, FL 33316-2521 | 2009-01-12 |
| Street Address |
789 S FEDERAL HWY SUITE 106 |
| City | FORT LAUDERDALE |
| State | FL |
| Zip Code | 33316-1245 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144217514 | Ilene S Kaufman | Pediatrics | 789 S Federal Hwy, Suite 102, Fort Lauderdale, FL 33316-1245 | 2005-09-30 |
| 1740826767 | Trina Kluck | Nurse Practitioner | 789 S Federal Hwy, Fort Lauderdale, FL 33316-1245 | 2019-11-25 |
| 1588132765 | Saltzman, Tanis, Pittell, Levin and Jacobson, LLC | Pediatrics | 789 S Federal Hwy, Fort Lauderdale, FL 33316-1245 | 2018-11-06 |
| 1790148583 | Kenneth James | Pediatrics | 789 S Federal Hwy, Fort Lauderdale, FL 33316-1245 | 2016-03-30 |
| 1427491380 | Amanda Fletcher | Specialist/Technologist | 789 S Federal Hwy, 106, Fort Lauderdale, FL 33316-1245 | 2013-04-10 |
| 1164710935 | Jamilah Grant-guimaraes | Pediatrics | 789 S Federal Hwy, Fort Lauderdale, FL 33316-1245 | 2006-11-03 |
| 1255354163 | Mark A Rubin | Family Medicine | 789 S Federal Hwy, Suite 106, Fort Lauderdale, FL 33316-1245 | 2006-07-25 |
| 1497710503 | Amy K Relkin | Pediatrics | 789 S Federal Hwy, Suite 102, Fort Lauderdale, FL 33316-1245 | 2006-04-20 |
| 1598752354 | Ray M Acevedo | Pediatrics | 789 S Federal Hwy, Fort Lauderdale, FL 33316-1245 | 2005-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366064040 | Jonathan David Ortiz | Behavior Technician | 1717 Se 4 Ave, Fort Lauderdale, FL 33316 | 2020-05-15 |
| 1306311626 | Gateway Recovery Center, LLC | Counselor | 1421 Sw 4th Avenue, Suite B, Fort Lauderdale, FL 33316 | 2018-10-13 |
| 1588141626 | Natan Bastoky | Family Medicine | 1600 S Andrews Ave # Gme, Fort Lauderdale, FL 33316 | 2018-07-22 |
| 1104320126 | Kathleen Kanani Graham | Pharmacist | 1401 S. Federal Highway, Ft. Lauderdale, FL 33316 | 2018-03-23 |
| 1093224271 | Lacosta Therapy, LLC | Behavioral Analyst | 412 Se 15 St., #4, Ft. Lauderdale, FL 33316 | 2017-09-20 |
| 1124560370 | Yulia Rybalka | Pharmacist | 217 Se 10th Street, Ft Lauderdale, FL 33316 | 2016-11-04 |
| 1730635376 | Brian Alexander Reyes | Specialist/Technologist | 303 Se 3rd Ave, Ft Lauderdale, FL 33316 | 2016-09-01 |
| 1649726282 | Jennifer Tabares | Specialist/Technologist | 303 Southeast 3rd Av, Fort Lauderdale, FL 33316 | 2016-09-01 |
| 1609236850 | Diane Nicole Shilling | Nurse Practitioner | 1001 South Andrews Avenue, Suite 100, Ft. Lauderdale, FL 33316 | 2016-03-01 |
| 1396113239 | Victoria Rosado | Adult Companion | 150 Se 12th Street, 401(b), Fort Lauderdale, FL 33316 | 2015-09-09 |
| Find all providers in zip 33316 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235772542 | Chelsea Michaels | Family Medicine | 633 Ne 11th Ave, Fort Lauderdale, FL 33304-4692 | 2019-10-21 |
| 1174090245 | Jmr Medical Services Inc | Family Medicine | 2501 E Commercial Blvd Ste 212, Fort Lauderdale, FL 33308-4127 | 2018-10-26 |
| 1588141626 | Natan Bastoky | Family Medicine | 1600 S Andrews Ave # Gme, Fort Lauderdale, FL 33316 | 2018-07-22 |
| 1396269007 | Vip Physicians Consulting LLC | Family Medicine | 500 Se 17th St Ste 301, Fort Lauderdale, FL 33316-2547 | 2017-08-03 |
| 1144593302 | Norman Pollock | Family Medicine | 3072 Ne 49th St, Fort Lauderdale, FL 33308-4915 | 2012-02-20 |
| 1558644690 | North Broward Hospital District | Family Medicine | 6333 N Federal Hwy Ste 225, Fort Lauderdale, FL 33308-1913 | 2011-09-26 |
| 1154613859 | Vi Song Tring | Family Medicine | 1339 Sw 3rd Ct, Fort Lauderdale, FL 33312 | 2011-05-12 |
| 1447567854 | Partners In Healthcare | Family Medicine | 1806 Nw 19th St, Fort Lauderdale, FL 33311-3535 | 2010-09-07 |
| 1124355250 | David Michael Paul | Family Medicine | 2020 Ne 48th Ct, Fort Lauderdale, FL 33308-4522 | 2009-11-10 |
| 1205160215 | Richard Allen Hill | Family Medicine | 1318 Se 17th St, Fort Lauderdale, FL 33316-1708 | 2009-09-23 |
| Find all providers in FORT LAUDERDALE | ||||
| City | FORT LAUDERDALE |
| Zip Code | 33316 |
Please comment or provide details below to improve the information on NORTH BROWARD HOSPITAL DISTRICT.
| 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.