MAGELLA MEDICAL ASSOCIATES MIDWEST PC (NPI# 1548367253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548367253 |
| Entity Type | Organization |
| Organization Name | MAGELLA MEDICAL ASSOCIATES MIDWEST PC |
| Other Organization Name | PEDIATRIX MEDICAL GROUP OF IOWA PC |
| Practice Address |
1301 Concord Ter Sunrise FL 33323-2843 |
| Mailing Address |
4991 Lake Brook Dr Suite 300 Glen Allen VA 23060-9293 |
| Practice Telephone | 9543840175 |
| Practice Fax Number | 9548511948 |
| Mailing Telephone | 8043463535 |
| Mailing Fax Number | 8042530408 |
| Enumeration Date | 2006-09-17 |
| Last Update Date | 2010-08-27 |
| Authorized Official Name | ARNOLD M POOLE (SIGNING AUTHORITY) |
| Authorized Official Telephone | 9543840175 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 534719 | 05 |
| Other Name | Type Code |
|---|---|
| Pediatrix Medical Group of Iowa PC | Doing Business As Name - Organization |
| Street Address |
1301 CONCORD TER |
| City | SUNRISE |
| State | FL |
| Zip Code | 33323-2843 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336137579 | Jan N Arango | Pediatrics | 1301 Concord Ter, Sunrise, FL 33323-2843 | 2005-10-12 |
| 1881226835 | Jasmine Taylor | Registered Nurse | 1301 Concord Ter, Sunrise, FL 33323-2843 | 2020-02-07 |
| 1295374601 | Joshua Jaime Rodriguez | Registered Nurse | 1301 Concord Ter, Sunrise, FL 33323-2843 | 2020-01-02 |
| 1528528403 | Esther Franklin | Registered Nurse | 1301 Concord Ter, Sunrise, FL 33323-2843 | 2019-03-25 |
| 1518411503 | Michael Adam Grayson | Anesthesiologist Assistant | 1301 Concord Ter, Sunrise, FL 33323-2843 | 2016-08-08 |
| 1578903068 | Merin P Sanjay | Nurse Practitioner | 1301 Concord Ter, Sunrise, FL 33323-2843 | 2013-06-27 |
| 1447697198 | Deborah Carter Basco | Nurse Anesthetist, Certified Registered | 1301 Concord Ter, Sunrise, FL 33323-2843 | 2013-06-03 |
| 1760741797 | American Anesthesiology of Florida, Inc | Anesthesiology | 1301 Concord Ter, Sunrise, FL 33323-2843 | 2012-05-11 |
| 1598049629 | Roberta-lyn Kurronen | Nurse Practitioner | 1301 Concord Ter, Sunrise, FL 33323-2843 | 2011-10-07 |
| 1568758597 | Teri Lynn Chavira | Nurse Practitioner | 1301 Concord Ter, Sunrise, FL 33323-2843 | 2011-06-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427605088 | Global Wellness LLC | Clinical Neuropsychologist | 1560 Sawgrass Corporate Parkway #447, Sunrise, FL 33323 | 2019-08-19 |
| 1740785062 | Rodolfo Walse Asis Jr. | Physical Medicine & Rehabilitation | 1580 Sawgrass Corporate Parkway, Suite 200, Sunrise, FL 33323 | 2018-03-28 |
| 1558890913 | Juliana Andrea Duque | Technician, Health Information | 11301 Nw 29th Street, Sunrise, FL 33323 | 2017-06-08 |
| 1487183026 | Alejandra Lamardo | Specialist/Technologist | 3634 Nw 122nd Ter, Sunrise, FL 33323 | 2017-06-07 |
| 1831630623 | Kayode David Ojetola | Physical Therapist | 1580 Sawgrass Corporate Parkway, Sunrise, FL 33323 | 2017-03-14 |
| 1467990770 | Gerardo Pre Dinglasan Jr. | Physical Therapist | 1580 Sawgrass Corporate Parkway Suite 200, Parkway Suite 200, Sunrise, FL 33323 | 2017-02-07 |
| 1184161630 | Praveen Mishra | Physical Therapist | 1580 Sawgrass Corp Parkway, Suite 200, Sunrise, FL 33323 | 2017-01-23 |
| 1770029183 | Corahealinghands Psychiatric Services Inc | Nurse Practitioner | 14421 West Sunrise Boulevard Suite, 208, Sunrise, FL 33323 | 2017-01-09 |
| 1558718916 | Shirley Freckleton-williams | Nurse Practitioner | 13110 Nw 11th Drive, Sunrise, FL 33323 | 2016-05-16 |
| 1376927525 | Tai Lyn Auras | Nurse Practitioner | 14050 Nw 14th Street, Suite 190, Fort Lauderdale, FL 33323 | 2015-07-17 |
| Find all providers in zip 33323 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| 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) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376727404 | Megan Schmidt | Pediatrics | 1301 Concord Ter, Sunrise, FL 33323-2843 | 2007-12-26 |
| 1083806509 | Doron J Kahn | Pediatrics | 1613 Harrison Pkwy, Ste 200, Sunrise, FL 33323-2853 | 2007-08-17 |
| 1558468256 | Pediatrix Medical Group of North Carolina PC | Pediatrics | 1301 Concord Ter, Sunrise, FL 33323-2843 | 2006-09-17 |
| 1376640078 | Pediatrix Medical Group Neonatology and Pediatric Intensive Care Speci | Pediatrics | 1301 Concord Ter, Sunrise, FL 33323-2843 | 2006-09-17 |
| 1720185432 | Pediatrix Medical Group of Michigan PC | Pediatrics | 1301 Concord Ter, Sunrise, FL 33323-2843 | 2006-09-17 |
| 1992802607 | Pediatrix Medical Group of South Carolina Pa | Pediatrics | 1301 Concord Ter, Sunrise, FL 33323-2843 | 2006-09-17 |
| 1356448062 | Magella Medical Associates of Georgia PC | Pediatrics | 1301 Concord Ter, Sunrise, FL 33323-2843 | 2006-09-17 |
| 1194731752 | Alan Richard Spitzer | Pediatrics | 1301 Concord Ter, Sunrise, FL 33323-2843 | 2006-08-01 |
| 1689617094 | Reese Hunter Clark | Pediatrics | 1301 Concord Ter, Sunrise, FL 33323-2843 | 2006-06-14 |
| 1477515112 | Howard Jay Brenker | Pediatrics | 1500 Concord Ter, Sunrise, FL 33323-2815 | 2006-04-06 |
| Find all providers in SUNRISE | ||||
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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.