DR. KATHARYN MADIWALE (NPI# 1922044742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922044742 |
| Entity Type | Individual |
| Full Name | DR. KATHARYN MADIWALE |
| Credential | D.O. |
| Practice Address |
350 Nw 84th Ave Ste 200a Plantation FL 33324-1817 |
| Mailing Address |
6101 Blue Lagoon Dr Ste 400 Miami FL 33126-2051 |
| Practice Telephone | 9544244321 |
| Practice Fax Number | 9544240765 |
| Mailing Telephone | 9544341705 |
| Mailing Fax Number | 8006422398 |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2019-01-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | OS 11738 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | FLORIDA BLUE | 14MQ5 | 01 |
| FL | 006610600 | 05 |
| Street Address |
350 NW 84TH AVE STE 200A |
| City | PLANTATION |
| State | FL |
| Zip Code | 33324-1817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285799452 | Carissa Vega | Nutritionist | 350 Nw 84th Ave Ste 200a, Plantation, FL 33324-1817 | 2006-12-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790395382 | Jose A Zarranz | Pharmacist | 9648 Nw 7th Circle, Apt 1914, Plantation, FL 33324 | 2020-08-07 |
| 1275142234 | Leann Dehoff, Phd, Lmhc, Inc. | Clinic/Center | 150 S Pine Island Road, Suite 300, Unit 94, Plantation, FL 33324 | 2020-07-27 |
| 1881232890 | Clara Mary Gonzalez Guevara | Nurse Practitioner | 01 S University Dr, Suite C136, Plantation, FL 33324 | 2019-12-20 |
| 1568009231 | Beena K Bijoy | Nurse Practitioner | 10305 Nw 6th Street, Plantation, FL 33324 | 2019-12-02 |
| 1629636030 | Carey Brown | Behavior Technician | 3 S Pine Island Rd, Apt 215, Ft. Lauderdale, FL 33324 | 2019-05-31 |
| 1578076410 | Eden Avni | Physician Assistant | 950 S Pine Island Rd Ste A-180, Plantation, FL 33324 | 2017-11-14 |
| 1528597952 | Loretta Epsen | Counselor | 851 Nw 85th Terr #1906, Plantation, FL 33324 | 2017-06-08 |
| 1497289409 | Leann Gale Dehoff | Counselor | 150 South Pine Island Road, Suite 300, Unit 94, Plantation, FL 33324 | 2017-04-17 |
| 1851842918 | Maria Clara Rodriguez Andrade | Technician, Other | 2440 Sw 105 Terrace, Davie, FL 33324 | 2016-10-24 |
| 1447703947 | Herltg-debbie M Louis | Nurse Practitioner | 800 S University Dr, C-136, Plantation, FL 33324 | 2016-08-01 |
| Find all providers in zip 33324 | ||||
| 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 |
|---|---|---|---|---|
| 1508321076 | Healing Hands Medical Office Inc | Family Medicine | 284 S University Dr, Plantation, FL 33324-3341 | 2019-02-08 |
| 1235606518 | Mariah Paz Dominguez | Family Medicine | 350 N Pine Island Rd Ste 301, Plantation, FL 33324-1849 | 2018-10-25 |
| 1174039135 | Michael Mckuin | Family Medicine | 1700 Sw 78th Ave Apt 1112, Plantation, FL 33324-3460 | 2017-12-28 |
| 1720533680 | Bluestar Medical, P.a. | Family Medicine | 4101 Nw 4th St Ste 211, Plantation, FL 33317-2840 | 2016-08-22 |
| 1871959882 | Em9699 LLC | Family Medicine | 10480 Nw 11th Ct, Plantation, FL 33322-6585 | 2016-01-06 |
| 1700273026 | Lindsey Ling Bowser | Family Medicine | 220 Sw 84th Ave., Suite 201, Plantation, FL 33324 | 2015-04-24 |
| 1750729679 | Khaled Diab | Family Medicine | 828 Fairway Dr, Plantation, FL 33317-4438 | 2013-06-13 |
| 1477998599 | Kaylesh Kumar Pandya | Family Medicine | 400 Nw 107th Ave, Plantation, FL 33324-1524 | 2013-05-02 |
| 1053658658 | Integrative & Alternative Medicine, LLC | Family Medicine | 8320 W Sunrise Blvd Ste 105, Plantation, FL 33322-5434 | 2013-01-16 |
| 1891069662 | Daniela Nguyen | Family Medicine | 180 Sw 84th Ave Ste B, Plantation, FL 33324-2731 | 2012-02-26 |
| Find all providers in PLANTATION | ||||
| City | PLANTATION |
| Zip Code | 33324 |
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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.