DR. RUSSELL SUPERFINE (NPI# 1386910222) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386910222 |
| Entity Type | Individual |
| Full Name | DR. RUSSELL SUPERFINE |
| Practice Address |
21150 Ne 38th Ave Apt 2006 Aventura FL 33180-4040 |
| Practice Telephone | 3053312822 |
| Practice Fax Number | 3059360509 |
| Enumeration Date | 2012-03-26 |
| Last Update Date | 2012-03-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | TM00190 | TX | Allopathic & Osteopathic Physicians |
| Y | 207R00000X | Internal Medicine | ME0033711 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 254443100 | 05 |
| Street Address |
21150 NE 38TH AVE APT 2006 |
| City | AVENTURA |
| State | FL |
| Zip Code | 33180-4040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720607849 | Nabeel Rahman Khan | Student in an Organized Health Care Education/Training Program | 20900 Biscayne Boulevard, Avetura, Fl, Aventura, FL 33180 | 2020-04-09 |
| 1235766841 | Hanny Hausmann | Counselor | 2999 Ne 191 Street, Suite 902, Aventura, FL 33180 | 2020-03-24 |
| 1760976369 | Michael Ernest Molino | Optometrist | 19575 Biscayne Blvd Ste 579, Aventura, FL 33180 | 2018-06-18 |
| 1932602620 | Carmen Somarriba | Physician Assistant | 21110 Biscayne Blvd Bldg Suite400, Aventura, FL 33180 | 2018-03-09 |
| 1235631474 | Premier Florida Podiatry, Pa | Podiatrist | 3060 Ne 190th St Apt 202, Aventura, FL 33180 | 2018-03-04 |
| 1891229126 | Ifrah Zahid Butt | Student in an Organized Health Care Education/Training Program | 20900 Biscayne Blvd., Aventura, FL 33180 | 2017-04-13 |
| 1629500129 | Hector Hugo Gonzalez | Student in an Organized Health Care Education/Training Program | 20900 Biscayne Blvd, South Tower, #807, Aventura Hospital and Medical Center, Aventura, FL 33180 | 2017-04-03 |
| 1457892671 | Nusen Beer | Internal Medicine | 20200 W Dixie Hwy Ste 701, Aventura, FL 33180 | 2017-03-20 |
| 1073052338 | Alfa Diagnostic LLC | Point of Service | 21355 E Dixie Hwy Ste 101, Aventura, FL 33180 | 2017-02-20 |
| 1598211740 | Katherine Mendez-martinez | Nurse Practitioner | 2925 Aventura Blvd. Suite 101, Aventura, FL 33180 | 2016-08-28 |
| Find all providers in zip 33180 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306444211 | Neighbormd of Aventura LLC | Internal Medicine | 2845 Aventura Blvd Ste 240, Aventura, FL 33180-3120 | 2020-10-13 |
| 1962995845 | Primary Care Specialist of South Florida Pa | Internal Medicine | 20200 W Dixie High Way, 1108, Aventura, FL 33301 | 2018-06-14 |
| 1992149355 | Felix Grudsky | Internal Medicine | 2801 Ne 213th St Ste 101100, Aventura, FL 33180-1263 | 2013-04-29 |
| 1710230115 | Doctors Direct Inc | Internal Medicine | 21055 Yacht Club Dr, #1801, Aventura, FL 33180-4085 | 2012-10-23 |
| 1487941324 | Abraham Rotbart | Internal Medicine | 7000 Island Blvd, Apt 1509, Aventura, FL 33160-2405 | 2011-06-29 |
| 1851610489 | Elliott A Stein Md Pa | Internal Medicine | 21110 Biscayne Blvd Ste 404, Aventura, FL 33180-1252 | 2010-05-21 |
| 1215264536 | Reynaldo Lopez | Internal Medicine | 3580 Mystic Pointe Dr, Aventura, FL 33180-2554 | 2009-11-06 |
| 1558534545 | Gelenis Calzadilla Domingo | Internal Medicine | 20801 Biscayne Boulevard, Suite 200, Aventura, FL 33180-1422 | 2008-04-10 |
| 1912170077 | Hector Y Vazquez | Internal Medicine | 21150 Biscayne Blvd Ste 208, Aventura, FL 33180-1231 | 2008-04-10 |
| 1225258692 | Robert Harris Besen | Internal Medicine | 20628 Biscayne Blvd, Aventura, FL 33180-1534 | 2007-04-26 |
| Find all providers in AVENTURA | ||||
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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.