JACKSON HEALTH SYSTEM (NPI# 1922267517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922267517 |
| Entity Type | Organization |
| Organization Name | JACKSON HEALTH SYSTEM |
| Practice Address |
1611 Nw 12th Ave Miami FL 33136-1005 |
| Practice Telephone | 7867668381 |
| Practice Fax Number | 3053258965 |
| Mailing Telephone | 7867668381 |
| Mailing Fax Number | 3053258965 |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2008-06-09 |
| Authorized Official Name | MISS ALMA BREDEN (MANAGER) |
| Authorized Official Telephone | 7864668381 |
| Authorized Official Credential | COHN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 1145932 | FL | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639477789 | Jackson Health System | Clinic/Center | 16455 Ne 6th Ave, Miami, FL 33162-3675 | 2011-03-14 |
| 1669481008 | Jackson Health System | Clinic/Center | 9771 Glacier Dr, Miramar, FL 33025-4410 | 2006-08-05 |
| 1558381848 | Jackson Health System | General Acute Care Hospital | 11685 Ne 21st Dr, North Miami, FL 33181-3209 | 2006-07-20 |
| 1639338221 | Jackson Health System | General Acute Care Hospital | 1611 Nw 12th Ave, Miami, FL 33136-1005 | 2008-06-09 |
| 1376681239 | Jackson Health System | General Acute Care Hospital | 1611 Nw 12th Ave, Miami, FL 33136-1005 | 2007-02-02 |
| 1265579320 | Jackson Health System | General Acute Care Hospital | 1611 Nw 12th Ave, Miami, FL 33136-1005 | 2007-01-30 |
| 1386700557 | Jackson Health System | General Acute Care Hospital | 1611 Nw 12th Ave, Miami, FL 33136-1005 | 2006-12-29 |
| Street Address |
1611 NW 12TH AVE |
| City | MIAMI |
| State | FL |
| Zip Code | 33136-1005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740286251 | Karen Chitty | Emergency Medicine | 1611 Nw 12th Ave, Miami, FL 33136-1005 | 2005-06-21 |
| 1558968263 | Natalie Dinger | Nurse Practitioner | 1611 Nw 12th Ave, Miami, FL 33136-1096 | 2020-10-06 |
| 1306452057 | Ryan M Bukhari | Dentist | 1611 Nw 12th Ave, Miami, FL 33136-1096 | 2020-09-18 |
| 1467068155 | Hussien Touny | Student in an Organized Health Care Education/Training Program | 1611 Nw 12th Ave, Miami, FL 33136-1096 | 2020-09-18 |
| 1912512310 | Clementina Aurora Cabrera | Student in an Organized Health Care Education/Training Program | 1611 Nw 12th Ave, Miami, FL 33136-1005 | 2020-09-11 |
| 1184237265 | Kencya Toussaint | Nurse Practitioner | 1611 Nw 12th Ave, Miami, FL 33136-1096 | 2020-08-28 |
| 1568075976 | Manuel Molina | Student in an Organized Health Care Education/Training Program | 1611 Nw 12th Ave, Miami, FL 33136-1005 | 2020-08-25 |
| 1063025468 | Carlos Federico Moral Ortega | Student in an Organized Health Care Education/Training Program | 1611 Nw 12th Ave, Miami, FL 33136-1096 | 2020-08-25 |
| 1770195919 | Ezekiel Oluwasayo Ijaopo | Student in an Organized Health Care Education/Training Program | 1611 Nw 12th Ave, Miami, FL 33136-1005 | 2020-08-19 |
| 1568070258 | Virosh Dharmadasa | Student in an Organized Health Care Education/Training Program | 1611 Nw 12th Ave, Miami, FL 33136-1005 | 2020-07-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548875685 | Agustina Dirocco | Registered Nurse | 1611 Ne 12th Ave, Miami, FL 33136 | 2020-09-15 |
| 1093338451 | Krizia Amy Vinck | Clinical Neuropsychologist | 1150 Nw 14th St, Miami, Fl 33136, Miami, FL 33136 | 2020-05-20 |
| 1992327761 | Jorge Luis Cardenas Alvarez | Student in an Organized Health Care Education/Training Program | 1611 Nw 12 Avenue Central Room 600-d, Miami, FL 33136 | 2020-05-14 |
| 1104447036 | Denver Steven Pinto | Student in an Organized Health Care Education/Training Program | 1611 Nw 12 Avenue Jackson Memorial Hospital, West Wing 279 Emergency Radiology, Miami, FL 33136 | 2020-05-01 |
| 1992325724 | Dimple Kumar Chanamolu | Student in an Organized Health Care Education/Training Program | Deptarment of Urology University of Miama Miller School, Crb 1120 Nw 14th Street Suite 1551c, Miami, FL 33136 | 2020-04-22 |
| 1578100996 | Alex Aziz Al Khoury | Internal Medicine | 1120 Nw 14th St. Suite 1112, Miami, FL 33136 | 2019-12-04 |
| 1437708872 | Marie Jeanjean | Genetic Counselor, MS | 1501 Nw 10th Avenue, Brb 334 (m860), Miami, FL 33136 | 2019-09-09 |
| 1710543905 | Tal Friehmann | Student in an Organized Health Care Education/Training Program | Jackson Memorial Hospital, Breast Imaging Dep, 1611 Nw 12 Avenue, Miami, FL 33136 | 2019-05-14 |
| 1285297895 | Omar Munoz | Student in an Organized Health Care Education/Training Program | 1611 Nw 12th Av., Psychiatry Department, Miami, FL 33136 | 2019-04-18 |
| 1902369648 | Seyedeh Haleh Amirian | Student in an Organized Health Care Education/Training Program | 1611 12th Avenue, Holtz Buiding, East Tower, 2169, Miami, FL 33136 | 2019-04-10 |
| Find all providers in zip 33136 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184246894 | Zbeiro Corp | General Acute Care Hospital | 13952 Sw 52nd Ln, Miami, FL 33175-5166 | 2020-05-15 |
| 1831541713 | Aventura Hospital | General Acute Care Hospital | 482 Nw 85th Street Rd, Miami, FL 33150-2689 | 2016-07-05 |
| 1770934010 | Lisandy Aleman | General Acute Care Hospital | 2413 Nw 14th St, Miami, FL 33125-2105 | 2016-06-28 |
| 1275999880 | Tanya Clarke | General Acute Care Hospital | 6703 Nw 7th Street, Kin 5100, Miami, FL 33126 | 2016-01-12 |
| 1306201934 | Baptist Health South Florida | General Acute Care Hospital | 3204 Bird Ave Apt 112, Miami, FL 33133-4461 | 2015-12-26 |
| 1003291600 | Juan Antonio San Blas Valdes Sr. | General Acute Care Hospital | 100 Sw 110th Ave Apt 125, Miami, FL 33174-1255 | 2015-07-23 |
| 1083002828 | Cristel Anzoategui | General Acute Care Hospital | 14219 Sw 126th Pl, Miami, FL 33186-6094 | 2015-01-02 |
| 1598172546 | University of Miami | General Acute Care Hospital | 1501 Nw 10th Ave # 336m860, Miami, FL 33136-1012 | 2014-07-22 |
| 1376959353 | Jami Horvat | General Acute Care Hospital | 9235 Sw 63rd St, Miami, FL 33173-2305 | 2014-07-10 |
| 1528499159 | Lydia Alvarado | General Acute Care Hospital | 16006 Sw 147th St, Miami, FL 33196-6412 | 2013-12-08 |
| Find all providers in MIAMI | ||||
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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.