MERCY MEDICAL DEVELOPMENT INC (NPI# 1992787576) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992787576 |
| Entity Type | Organization |
| Organization Name | MERCY MEDICAL DEVELOPMENT INC |
| Other Organization Name | MERCY OUTPATIENT CENTER |
| Practice Address |
3641 S Miami Ave Miami FL 33133-4205 |
| Mailing Address |
Po Box 331966 Miami FL 33233-1966 |
| Practice Telephone | 3058604660 |
| Practice Fax Number | 3058604682 |
| Mailing Telephone | 3058604660 |
| Mailing Fax Number | 3058604682 |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2008-05-29 |
| Authorized Official Name | MR. JERRY MASHBURN (CFO) |
| Authorized Official Telephone | 3058544400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085N0904X |
Radiology Specialization: Nuclear Radiology |
Allopathic & Osteopathic Physicians | ||
| N | 2085R0203X |
Radiology Specialization: Therapeutic Radiology |
Allopathic & Osteopathic Physicians | ||
| N | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
Allopathic & Osteopathic Physicians | ||
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
Allopathic & Osteopathic Physicians | ||
| N | 207UN0901X |
Nuclear Medicine Specialization: Nuclear Cardiology |
Allopathic & Osteopathic Physicians | ||
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
Allopathic & Osteopathic Physicians | ||
| N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
Allopathic & Osteopathic Physicians | ||
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 060942100 | 05 |
| Other Name | Type Code |
|---|---|
| Mercy Outpatient Center | Doing Business As Name - Organization |
| Street Address |
3641 S MIAMI AVE |
| City | MIAMI |
| State | FL |
| Zip Code | 33133-4205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063070340 | Elisa N Mastromarino | Registered Nurse | 3641 S Miami Ave, Miami, FL 33133-4204 | 2019-06-03 |
| 1649771007 | Carrie Kay | Nurse Anesthetist, Certified Registered | 3641 S Miami Ave, Miami, FL 33133-4204 | 2018-02-21 |
| 1740707074 | Vanessa Arteaga Mugnai | Nurse Anesthetist, Certified Registered | 3641 S Miami Ave, Miami, FL 33133-4204 | 2017-08-28 |
| 1114454246 | Raquel C Diaz | Registered Nurse | 3641 S Miami Ave, Miami, FL 33133-4204 | 2017-05-19 |
| 1588928105 | Aaron Pascual | Family Medicine | 3641 S Miami Ave, Suite 170, Miami, FL 33133-4204 | 2012-06-28 |
| 1790044550 | Jonathan Rakofsky | Emergency Medicine | 3641 S Miami Ave, Emergency Department, Miami, FL 33133-4204 | 2012-05-14 |
| 1942503727 | Aleida Eugenia Sanabria | Nurse Practitioner | 3641 S Miami Ave, Suite 221 Bayside Pavillon, Miami, FL 33133-4205 | 2010-12-16 |
| 1770801409 | Michael Fiorani | Acupuncturist | 3641 S Miami Ave, Suite 170, Miami, FL 33133-4205 | 2010-05-05 |
| 1497073134 | Zenacumed, LLC | Acupuncturist | 3641 S Miami Ave, Suite 170, Miami, FL 33133-4205 | 2010-05-05 |
| 1114165701 | Paul John Davies | Nurse Anesthetist, Certified Registered | 3641 S Miami Ave, Miami, FL 33133-4205 | 2009-02-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942831367 | Thelma Oliver Pyton | Case Manager/Care Coordinator | 2780 Sw 37th Avenue, Suite 206, Miami, FL 33133 | 2020-02-04 |
| 1164069456 | Jorge Alberto Lopez II | Counselor | 2780 Ssw 37th Ave, Coconut Grove, FL 33133 | 2019-12-05 |
| 1588209381 | Toni T Rice | Counselor | 2780 S.w. 37th Ave, Suite #206, Miami, FL 33133 | 2019-11-15 |
| 1720629876 | Julian De Jesus Mazuera Pelaez | Specialist/Technologist, Other | 2615 Sw 22nd Av, Apt 10, Miami, FL 33133 | 2019-09-30 |
| 1558831131 | Jessica Dehombre | Speech-Language Pathologist | 2780 Sw Douglas Road Suite 203, Miami, FL 33133 | 2018-11-27 |
| 1043723620 | Alayn Fleites Gonzalez | Behavioral Analyst | 2950 S. Dixie Hwy, Miami, FL 33133 | 2017-11-06 |
| 1942711759 | Ella Raphaelle Dufrene | Psychologist | 3244 West Trade Ave. #1, Miami, FL 33133 | 2017-10-19 |
| 1639696305 | Nanci Hellinger | Dietitian, Registered | 3659 S. Miami Ave., Suite 3003, Miami, FL 33133 | 2017-08-24 |
| 1619497922 | Yanet Bonet Mill I | Behavioral Analyst | 2740 Sw 31 Ave, Miami, FL 33133 | 2017-06-27 |
| 1619497534 | Pathwaves Incorporated | Counselor | 2503 Southwest 27 Avenue, Miami, FL 33133 | 2017-06-21 |
| Find all providers in zip 33133 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760837991 | Bay Area Radiology, PC | Radiology | 4071 Battersea Rd, Miami, FL 33133-6601 | 2016-04-25 |
| 1144682626 | Bradley Fox | Radiology | 1475 Nw 12th Ave Bldg Room600d, Miami, FL 33136-1002 | 2016-03-24 |
| 1376953166 | Elena G. Violari | Radiology | Baptist Health of South Florida, 8900 North Kendall Drive, Miami, FL 33176 | 2014-05-01 |
| 1326469263 | Benjamin Boyle | Radiology | 9612 Sw 148th Ave, Miami, FL 33196 | 2013-12-19 |
| 1679837892 | Florida United Radiology, Lc | Radiology | 2065 Ne 204th St, Miami, FL 33179-2218 | 2012-07-03 |
| 1659630085 | Neal K Viradia | Radiology | 1201 Nw 16th St Dept Of, Miami, FL 33125-1624 | 2012-05-04 |
| 1982977377 | Cbc Imaging Center LLC | Radiology | 18140 Sw 97th Ave, Miami, FL 33157-5501 | 2012-02-15 |
| 1710258504 | Mp Diagnostic Ltd | Radiology | 6401 Sw 87 Avenue, Suite 121, Miami, FL 33173-2520 | 2012-01-25 |
| 1619256658 | Radreads Pllc | Radiology | 115 Sw 36th Court, Miami, FL 33135-1016 | 2011-08-09 |
| 1851607832 | Amauri Valdes Md Pa | Radiology | 3990 W Flagler, Suite 204, Miami, FL 33134 | 2010-08-27 |
| 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.