JACKSON MEMORIAL HOSPITAL (NPI# 1497033500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497033500 |
| Entity Type | Organization |
| Organization Name | JACKSON MEMORIAL HOSPITAL |
| Practice Address |
1450 Nw 10th Ave Suite 2054a Miami FL 33136-1011 |
| Practice Telephone | 9175361624 |
| Mailing Telephone | 9175361624 |
| Enumeration Date | 2011-07-25 |
| Last Update Date | 2011-07-25 |
| Authorized Official Name | EVIS HARJA (FWLLOW) |
| Authorized Official Telephone | 9175361634 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 281P00000X | Chronic Disease Hospital | Hospitals | ||
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306158266 | Jackson Memorial Hospital | Special Hospital | 13128 Sw 45th Dr, Miramar, FL 33027-3160 | 2010-07-08 |
| 1477871069 | Jackson Memorial Hospital | General Acute Care Hospital | 4304 E Whitewater Ave, Weston, FL 33332-2409 | 2010-05-07 |
| 1992034466 | Jackson Memorial Hospital | General Acute Care Hospital | 2101 Brickell Ave, 712, Miami, FL 33129-2128 | 2009-12-13 |
| 1225275639 | Jackson Memorial Hospital | General Acute Care Hospital | 169 E Flagler St Fl 11, Miami, FL 33131-1210 | 2009-01-08 |
| 1861603706 | Jackson Memorial Hospital | Clinic/Center | 1600 Nw 12th Ave., Suite C-150, Miami, FL 33136 | 2007-05-24 |
| 1891879623 | Jackson Memorial Hospital | General Acute Care Hospital | 435 Ne 121st St, Apt 207, North Miami, FL 33161-5480 | 2006-10-25 |
| 1922196062 | Jackson Memorial Hospital | General Acute Care Hospital | 3311 Sw 17th St, Miami, FL 33145-1821 | 2006-10-11 |
| 1477568178 | Jackson Memorial Hospital | Clinic/Center | 13850 Nw 41st St, Doral, FL 33178-3004 | 2006-07-30 |
| 1366973745 | Jackson Memorial Hospital | Skilled Nursing Facility | 1611 Nw 12th Ave, East Tower, Miami, FL 33136-1005 | 2017-03-27 |
| 1528386463 | Jackson Memorial Hospital | Medicare Defined Swing Bed Unit | 1611 Nw 12th Ave, Miami, FL 33136-1005 | 2010-05-16 |
| Street Address |
1450 NW 10TH AVE SUITE 2054A |
| City | MIAMI |
| State | FL |
| Zip Code | 33136-1011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467417204 | Bresta Y Miranda-palma | Internal Medicine | 1450 Nw 10th Ave, Miami, FL 33136-1011 | 2006-04-17 |
| 1538794748 | Maddison Nicole Saalinger | Dietitian, Registered | 1450 Nw 10th Ave, Miami, FL 33136-1011 | 2020-03-09 |
| 1942790613 | Sebastiana Moraes Campos | Nurse Practitioner | 1450 Nw 10th Ave, Miami, FL 33136-1011 | 2018-05-17 |
| 1013424555 | Shelley Nicholls | Nurse Practitioner | 1450 Nw 10th Ave, Miami, FL 33136-1011 | 2018-01-05 |
| 1154706976 | Mercy Molina | Dietitian, Registered | 1450 Nw 10th Ave, Miami, FL 33136-1011 | 2015-07-22 |
| 1851774988 | Lisset Oropesa-gonzalez | Nurse Practitioner | 1450 Nw 10th Ave, Miami, FL 33136-1011 | 2015-07-07 |
| 1881010650 | Ana Margarita Alvarez Gil | Nurse Practitioner | 1450 Nw 10th Ave, Miami, FL 33136-1011 | 2014-03-17 |
| 1639595630 | Lisa Rafkin | Dietitian, Registered | 1450 Nw 10th Ave, Suite # 1006, Miami, FL 33136-1011 | 2014-03-14 |
| 1609291194 | Amy Kimberlain | Dietitian, Registered | 1450 Nw 10th Ave, Miami, FL 33136-1011 | 2014-02-20 |
| 1841508355 | University of Miami | Clinic/Center | 1450 Nw 10th Ave, Miami, FL 33136-1011 | 2010-09-17 |
| 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 | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
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| 1598371064 | Orive Physician Services Pa | Clinic/Center | 7235 Sw 39th St, Miami, FL 33155-6615 | 2020-09-21 |
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| 1972117224 | Beautiful Minds Medical Center LLC | Clinic/Center | 11045 Sw 216th Street, Unit 6, Miami, FL 33170 | 2020-09-03 |
| 1912510751 | Abc Health Care Services LLC | Clinic/Center | 175 Fontainebleau Blvd # 2a2, Miami, FL 33172-7018 | 2020-08-30 |
| 1952914517 | Therapy Unlimited Miami | Clinic/Center | 792 Nw 123rd Ct, Miami, FL 33182-2429 | 2020-08-24 |
| 1801405170 | Blue Medical Center Corp | Clinic/Center | 7805 Sw 24th St Ste 129, Miami, FL 33155-6553 | 2020-07-23 |
| 1407473820 | Caremax Medical Center of Westchester, L.L.C. | Clinic/Center | 8755 Sw 24th St, Miami, FL 33165-2005 | 2020-07-01 |
| 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.