MAMMEN P ZACHARIAH (NPI# 1154300150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154300150 |
| Entity Type | Individual |
| Full Name | MAMMEN P ZACHARIAH |
| Credential | MD |
| Practice Address |
6405 N Federal Highway Suite 200 Fort Lauderdale FL 33308-1412 |
| Mailing Address |
1700 Nw 49th St Ste 125 Fort Lauderdale FL 33309-3750 |
| Practice Telephone | 9549585200 |
| Practice Fax Number | 9549585105 |
| Mailing Telephone | 9549585200 |
| Mailing Fax Number | 9549585105 |
| Enumeration Date | 2006-01-10 |
| Last Update Date | 2019-10-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
ME41759 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 277300700 | 05 |
| Street Address |
6405 N FEDERAL HIGHWAY SUITE 200 |
| City | FORT LAUDERDALE |
| State | FL |
| Zip Code | 33308-1412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588664304 | Kenneth Hays Farrell | Otolaryngology | 6405 N Federal Highway, Suite 104, Fort Lauderdale, FL 33308 | 2005-07-22 |
| 1649580085 | Elizabeth Anne Elliott | Physician Assistant | 6405 N Federal Highway, Suite 200, Fort Lauderdale, FL 33308-1412 | 2010-10-19 |
| 1760578439 | Edgar Bruck Rodas | Specialist | 6405 N Federal Highway, 401, Fort Lauderdale, FL 33308 | 2006-10-04 |
| 1093744336 | David H Holt | Internal Medicine | 6405 N Federal Highway, Suite 100, Fort Lauderdale, FL 33308-1412 | 2006-06-30 |
| 1609855683 | Molly Ann Zachariah | Internal Medicine | 6405 N Federal Highway, Suite 200, Fort Lauderdale, FL 33308-1412 | 2006-01-10 |
| 1275511289 | Zachariah P Zachariah | Internal Medicine | 6405 N Federal Highway, Ste 200, Fort Lauderdale, FL 33308-1412 | 2006-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215558788 | Marina Silva Ferreira | Student in an Organized Health Care Education/Training Program | Univ of Miami Miller School of Med Holy Cross Hospital, 4725 N Federal Highway, Fort Lauderdale, FL 33308 | 2020-05-06 |
| 1013538040 | Mehak Bansal | Student in an Organized Health Care Education/Training Program | 4725 N Federal Highway University of Miami, Miller School of Medicine Holy Cross Hospital Internal, Fort Lauderdale, FL 33308 | 2020-04-30 |
| 1285269266 | Roman Castell | Massage Therapist | 2480 E Commercial Blvd Ste 3, Fort Lauderdale, FL 33308 | 2020-03-10 |
| 1124667969 | Icarevip, Inc | Internal Medicine | 4800 N. Federal Highway, Suite 200, Fort Lauderdale, FL 33308 | 2019-12-26 |
| 1629612932 | Lana A Simmonds | Nurse Practitioner | 4390 N. Federal Hwy, Unit 101, Fort Lauderdale, FL 33308 | 2019-10-30 |
| 1063997260 | Kneaded Therapy, Inc | Physical Medicine & Rehabilitation | 2746 E Commerical Blvd., Ft. Lauderdale, FL 33308 | 2018-10-03 |
| 1518452184 | Colleen Lynn Culbertson | Nurse Anesthetist, Certified Registered | 1930 Ne 47th St Ste 308, Ft Lauderdale, FL 33308 | 2018-06-26 |
| 1962910562 | Healing Therapy Center Pllc | Social Worker | Healing Therapy, 1919 Ne 45th Street, Suite 225, Ft. Lauderale, FL 33308 | 2018-01-17 |
| 1376066647 | Carlos Jose Garcia | Student in an Organized Health Care Education/Training Program | 4725 North Federal Highway Suite 501, Fort Lauderdale, FL 33308 | 2017-07-19 |
| 1407381940 | Heather Hickson Lac LLC | Clinic/Center | 5353 North Federal Highway, Ste 220, Fort Lauderdale, FL 33308 | 2017-04-21 |
| Find all providers in zip 33308 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811508005 | North Broward Hospital District | Internal Medicine | 1800 E Commercial Blvd, Fort Lauderdale, FL 33308-3725 | 2020-08-12 |
| 1386289288 | Vanguard Catheterization Lab LLC | Internal Medicine | 3401 Davie Blvd, Fort Lauderdale, FL 33312-2758 | 2019-11-14 |
| 1144712050 | Michael A Chizner Md Pa | Internal Medicine | 12 Ne 12th Ave, Fort Lauderdale, FL 33301-1604 | 2018-06-06 |
| 1174763148 | South Florida Premiere Cardiology LLC | Internal Medicine | 401 E Las Olas Blvd, Suite 130-137, Fort Lauderdale, FL 33301-2210 | 2009-03-03 |
| 1679537583 | Michael A Chizner | Internal Medicine | 12 Ne 12th Ave, Fort Lauderdale, FL 33301-1604 | 2006-04-17 |
| 1275513384 | Zachariah P Zachariah Mdpa | Internal Medicine | 4725 N Federal Hwy, Suite 501, Fort Lauderdale, FL 33308-4603 | 2006-01-17 |
| 1184604290 | Edgardo Dos Santos | Internal Medicine | 4725 N Federal Hwy, Suite 501, Fort Lauderdale, FL 33308-4603 | 2006-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861004277 | Steve Malosky Md LLC | Internal Medicine | 900 Sw Saint Lucie Cres, Stuart, FL 34994-2842 | 2020-08-18 |
| 1881212744 | North Broward Hospital District | Internal Medicine | 817 S University Dr Ste 104, Plantation, FL 33324-3345 | 2020-07-08 |
| 1821612821 | Satish Sivasankaran Md Pa | Internal Medicine | 5340 Gulf Dr Ste 101, New Port Richey, FL 34652-3922 | 2020-06-04 |
| 1699317933 | Abid A Shah Md LLC | Internal Medicine | 5741 Bee Ridge Rd Ste 420, Sarasota, FL 34233-5081 | 2019-10-08 |
| 1154802833 | John-paul Pham | Internal Medicine | 4141 Southpoint Drive East, Suite D, Jacksonville, FL 32216 | 2018-08-22 |
| 1205329620 | Central Florida Cardiovascular Imaging Center, LLC | Internal Medicine | 1717 Mayo Dr, Tavares, FL 32778-4307 | 2018-06-11 |
| 1568953511 | Orlando Lopez-fernandez Jr. | Internal Medicine | 2800 Ponce De Leon Blvd Ste 1480, Coral Gables, FL 33134-6921 | 2018-05-25 |
| 1467959668 | Cardiology Practice Pa | Internal Medicine | 5051 Ashington Landing Dr, Tampa, FL 33647-3515 | 2018-04-12 |
| 1619476785 | Synergy Health Group LLC | Internal Medicine | 7828 Collins Grove Rd, Jacksonville, FL 32256-7175 | 2018-02-05 |
| 1114425477 | Cardiac Cin of Miami LLC | Internal Medicine | 2 S Biscayne Blvd Ste 3760c, Miami, FL 33131-1815 | 2018-01-31 |
| Find all providers with the same taxonomy | ||||
| City | FORT LAUDERDALE |
| Zip Code | 33308 |
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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.