DR. MICHAEL J LIGHT (NPI# 1255369534) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255369534 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL J LIGHT |
| Credential | MD |
| Practice Address |
1580 Nw 10th Ave First Floor Miami FL 33136-1013 |
| Mailing Address |
1500 Nw 12th Ave Jmt-east 1007 Miami FL 33136-1051 |
| Practice Telephone | 3052434664 |
| Practice Fax Number | 3052439927 |
| Mailing Telephone | 3052434664 |
| Mailing Fax Number | 3052439927 |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2015-07-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0214X |
Pediatrics Specialization: Pediatric Pulmonology |
ME81342 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 015095400 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477931830 | Michael A. Light | Social Worker | 2612 Nubgaard Rd, Ferndale, WA 98248-9226 | 2015-05-18 |
| 1508863648 | Michael John Light | Psychiatry & Neurology | 1108 Main Street, Shelbyville, KY 40065 | 2005-07-05 |
| 1285168708 | Michael Light | Emergency Medicine | 41 E Post Rd, White Plains, NY 10601-4699 | 2017-04-12 |
| 1063837292 | Michael Light II | Internal Medicine | 3 Village Grn N, Plymouth, MA 02360-8803 | 2014-02-25 |
| 1376866640 | Michael Light | Licensed Practical Nurse | 2040 Fitzhugh St, Batesville, AR 72501-7409 | 2010-03-01 |
| Street Address |
1580 NW 10TH AVE FIRST FLOOR |
| City | MIAMI |
| State | FL |
| Zip Code | 33136-1013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851382402 | Jochen Reiser | Internal Medicine | 1580 Nw 10th Ave, Batch 633a, Miami, FL 33136-1013 | 2005-11-02 |
| 1457795874 | Brandon Chatani | Pediatrics | 1580 Nw 10th Ave, Miami, FL 33136-1013 | 2013-04-29 |
| 1225393556 | Grace Toledo Padron | Pediatrics | 1580 Nw 10th Ave, Miami, FL 33136-1013 | 2012-07-12 |
| 1649565870 | Jennifer Gebbia | Nurse Practitioner | 1580 Nw 10th Ave, Miami, FL 33136-1013 | 2011-06-16 |
| 1023259058 | Dieunane Formul | Social Worker | 1580 Nw 10th Ave, Miami, FL 33136-1013 | 2009-03-22 |
| 1609017870 | Cherish Lorica | Pediatrics | 1580 Nw 10th Ave, Suite 286, Miami, FL 33136-1013 | 2009-03-17 |
| 1306997192 | Joseph Desantis | Nurse Practitioner | 1580 Nw 10th Ave, 2nd Floor, Miami, FL 33136-1013 | 2007-01-16 |
| 1386672426 | Gary I Kleiner | Pediatrics | 1580 Nw 10th Ave, Miami, FL 33136-1013 | 2006-06-29 |
| 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 | 2080P0214X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Pulmonology |
| A pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972829828 | Alicia Claudia Della Volpe | Pediatrics | 3200 Sw 60th Ct Ste 203, Miami, FL 33155-4070 | 2010-04-18 |
| 1437340676 | Marie Myrtha Gregoire-bottex | Pediatrics | 1580 Nw 10th Ave Fl 1, Miami, FL 33136-1013 | 2007-08-05 |
| 1790889996 | Mario Rub | Pediatrics | 20776 W Dixie Hwy, Miami, FL 33180 | 2006-09-11 |
| 1538192281 | Shahriar Shahzeidi | Pediatrics | 1717 N Bayshore Drive, Suite 217, Miami, FL 33132-1013 | 2006-07-08 |
| 1194118919 | Carlos E.diaz | Pediatrics | 8740 N Kendall Dr, 105, Miami, FL 33176-2212 | 2015-03-18 |
| 1902226087 | Grand Health Care Consulting LLC | Pediatrics | 1717 N Bayshore Dr, Suite 217, Miami, FL 33132-1180 | 2014-04-16 |
| 1902108749 | Pediatric Pulmonary and Asthma Specialists | Pediatrics | 20776 W Dixie Hwy, Miami, FL 33180-1146 | 2010-11-30 |
| 1629272828 | Pediatric Pulmonology Group of South Florida, LLC | Pediatrics | 3200 Sw 60th Ct, Suite 203, Miami, FL 33155-4000 | 2007-06-12 |
| 1316998701 | University of Miami | Pediatrics | 1601 Nw 12th Ave, Box 016960 M851, Miami, FL 33136-1005 | 2006-05-12 |
| 1790758605 | Maria E. Franco | Pediatrics | 3200 Sw 60th Ct, Suite 203, Miami, FL 33155-4000 | 2006-02-10 |
| 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.