MIAMI SHORES HAND & ORTHOPAEDIC SURGICAL ASSOCIATES INC. (NPI# 1922253756) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1922253756 |
Entity Type | Organization |
Organization Name | MIAMI SHORES HAND & ORTHOPAEDIC SURGICAL ASSOCIATES INC. |
Practice Address |
1190 Nw 95th St Suite 305 Miami FL 33150-2063 |
Mailing Address |
Po Box 381037 Miami FL 33238-1037 |
Practice Telephone | 3056962100 |
Practice Fax Number | 3056950025 |
Mailing Telephone | 3066962100 |
Mailing Fax Number | 3056960025 |
Enumeration Date | 2008-11-20 |
Last Update Date | 2009-06-12 |
Authorized Official Name | THESSELON MONDERSON (CEO) |
Authorized Official Telephone | 3056962100 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
ME 101703 | FL | Allopathic & Osteopathic Physicians |
Street Address |
1190 NW 95TH ST SUITE 305 |
City | MIAMI |
State | FL |
Zip Code | 33150-2063 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639179278 | Scott Goldberg | Otolaryngology | 1190 Nw 95th St, # 200, Miami, FL 33150-2063 | 2005-07-26 |
1902416142 | Xt9 Corp | Internal Medicine | 1190 Nw 95th St, Suite 301, Miami, FL 33150 | 2020-08-03 |
1447719984 | Valerie Simon | Nurse Practitioner | 1190 Nw 95th St, Miami, FL 33150-2063 | 2019-03-14 |
1114458122 | Heather Nunnelly | Physician Assistant | 1190 Nw 95th St, Suite 101, Miami, FL 33150-2063 | 2017-03-22 |
1427406750 | Marc Guerrier | Nurse Practitioner | 1190 Nw 95th St, Miami, FL 33150-2063 | 2016-05-26 |
1588020010 | Jean-claude Crevecoeur | Nurse Practitioner | 1190 Nw 95th St, Miami, FL 33150-2063 | 2016-01-13 |
1700278322 | Eric Zephirin | Podiatrist | 1190 Nw 95th St, Suite 108, Miami, FL 33150-2063 | 2015-02-19 |
1023419991 | Interventional Radiology Specialists of Miami Inc | Radiology | 1190 Nw 95th St, Suite 301, Miami, FL 33150-2063 | 2014-09-10 |
1528483476 | Florida Regional Foot and Ankle Specialists Pllc | Assisted Living Facility | 1190 Nw 95th St, Suite 108, Miami, FL 33150-2063 | 2014-03-02 |
1033534433 | Luis Mariano Roqueta Sr. | Specialist/Technologist, Other | 1190 Nw 95th St, Ste # 306, Miami, FL 33150-2063 | 2014-02-22 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417516600 | Arthur J. Iglesias, M.d. P.a. | Radiology | 1100 N.w. 95th Street, Cancer Center, Miami, FL 33150 | 2019-06-11 |
1841714052 | Rebecca Marie-danielle Anozier | Registered Nurse | 479 Nw 83rd St, Miami, FL 33150 | 2017-07-29 |
1972023976 | Charlotte Jenies | Behavior Technician | 1080 Nw 85 Th St, Miami, FL 33150 | 2017-06-21 |
1528501293 | Aneisha Samuels | Counselor | 291 Nw 104 Street, Miami Shores, FL 33150 | 2016-11-29 |
1568824977 | Francia Alexandre | Behavioral Analyst | 320 Nw 99th St, Miami, FL 33150 | 2016-03-24 |
1306201710 | Howard Lane | Counselor | 9198 Nw 8th Avenue, Miami, FL 33150 | 2015-12-30 |
1134598923 | Borinquen Health Care Center Inc | Clinic/Center | 1175 Nw 67 Street, Holmes Elementary, Miami, FL 33150 | 2015-09-22 |
1871988741 | Niveditha Bhaskarla | Psychiatry & Neurology | 1190 Nw 95th St Ste 110, Miami, FL 33150 | 2015-03-30 |
1821496852 | Affirming Youth Foundation, Inc. | Voluntary or Charitable | 150 Nw 79 Street, Suite 342, Miami, FL 33150 | 2014-12-08 |
1023440930 | Magda Demerritt | Social Worker | 7634 Nw 4th Ave, Miami, FL 33150 | 2013-08-01 |
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Taxonomy Code | 207XS0106X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
Specialization | Hand Surgery |
An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
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 |
---|---|---|---|---|
1194091488 | Giacomo Luis Cappelleti | Orthopaedic Surgery | 8905 Sw 87th Ave Ste 100, Miami, FL 33176-2210 | 2012-03-30 |
1538484985 | The Ouellette Group Physicians for The Hand, P.l. | Orthopaedic Surgery | 7445 Sw 127th St, Miami, FL 33156-5337 | 2010-03-29 |
1437170545 | Jacqueline Redondo | Orthopaedic Surgery | 7130 Sw 87th Ct, Suite 100, Miami, FL 33173-2511 | 2006-07-22 |
1356336283 | Seth Detchon Dodds | Orthopaedic Surgery | 900 Nw 17th St Dept Of, Miami, FL 33136-1119 | 2005-09-16 |
1336487974 | Jacqueline Redondo Md Pa | Orthopaedic Surgery | 7130 Sw 87th Ct, Miami, FL 33173-2511 | 2013-01-16 |
1366797359 | Ouellette Group Physicians for The Hand, P.l. | Orthopaedic Surgery | 3150 Sw 38th Ave, Suite 600, Miami, FL 33146-1523 | 2012-07-17 |
1427368307 | Physicians for The Hand LLC | Orthopaedic Surgery | 3150 Sw 38th Ave, Suite 600, Miami, FL 33146-1523 | 2010-10-13 |
1700024189 | Heather C Williams Md Pllc | Orthopaedic Surgery | 3661 S Miami Ave, Ste 605, Miami, FL 33133-4236 | 2009-01-23 |
1801040480 | The Hand Institute Pl | Orthopaedic Surgery | 8905 Sw 87th Ave, Suite 100, Miami, FL 33176-2227 | 2008-11-10 |
1679747067 | Eric Joaquin Balaguer | Orthopaedic Surgery | 8905 Sw 87th Ave, Suite 100, Miami, FL 33176-2227 | 2008-04-16 |
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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.