PEDEM PLLC (NPI# 1598027302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598027302 |
| Entity Type | Organization |
| Organization Name | PEDEM PLLC |
| Practice Address |
8900 N Kendall Dr Pediatric Emergency Dept Miami FL 33176-2118 |
| Mailing Address |
5975 Sunset Dr Suite 402 South Miami FL 33143-5198 |
| Practice Telephone | 7865961960 |
| Mailing Telephone | 3056659046 |
| Enumeration Date | 2012-06-08 |
| Last Update Date | 2012-06-20 |
| Authorized Official Name | DR. FERNANDO G MENDOZA (PRESIDENT) |
| Authorized Official Telephone | 3056659046 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PP0204X |
Emergency Medicine Specialization: Pediatric Emergency Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
8900 N KENDALL DR PEDIATRIC EMERGENCY DEPT |
| City | MIAMI |
| State | FL |
| Zip Code | 33176-2118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528068715 | Marlene Patricia Carbonell | Specialist | 8900 N Kendall Dr, Radiology Associates of South Florida, Miami, FL 33176 | 2005-07-28 |
| 1982204541 | Jessica Ann Vasquez | Nurse Practitioner | 8900 N Kendall Dr, Miami, FL 33176-2118 | 2020-10-31 |
| 1285233833 | Maria Eloisa Eleuterio Ortega | Registered Nurse | 8900 N Kendall Dr, Miami, FL 33176-2118 | 2020-10-23 |
| 1033717814 | Apryl Alexandra Sharon Thomas | Nurse Practitioner | 8900 N Kendall Dr, Miami, FL 33176-2118 | 2020-10-13 |
| 1952914756 | Arati Panda | Nurse Anesthetist, Certified Registered | 8900 N Kendall Dr, Miami, FL 33176-2118 | 2020-08-31 |
| 1033720339 | Jessica Angela Pappanikou | Nurse Practitioner | 8900 N Kendall Dr, Miami, FL 33176-2118 | 2020-08-11 |
| 1679181432 | Kiran Gangwani | Genetic Counselor, MS | 8900 N Kendall Dr, Miami, FL 33176-2118 | 2020-07-17 |
| 1831707694 | Alejandra Margarita Cantu Villarreal | Genetic Counselor, MS | 8900 N Kendall Dr, Miami, FL 33176-2118 | 2020-07-17 |
| 1679196695 | Leosvel Fraga | Anesthesiologist Assistant | 8900 N Kendall Dr, Miami, FL 33176-2118 | 2020-05-26 |
| 1235751843 | Jon Aksu | Counselor | 8900 N Kendall Dr, Miami, FL 33176-2118 | 2020-05-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467064162 | Majela Muse | Nurse Practitioner | 9550 Sw 92th St, Miami, FL 33176 | 2020-08-24 |
| 1104443647 | Karina G Castillo | Counselor | 14808 Sw 116th Ave, Miami, FL 33176 | 2020-07-01 |
| 1710515721 | Diana Almeida Araujo | Counselor | 11050 North Kendall Drive, Suite 102, Miami, FL 33176 | 2020-03-27 |
| 1255826285 | Rebecca Arteaga | Behavioral Analyst | 10150 Sw 88th St Apt 104, Miami, FL 33176 | 2018-06-22 |
| 1356834337 | Ag Special Therapy Services Corp | Physical Therapist | 12670 Sw 93 Place, Miami, FL 33176 | 2018-06-13 |
| 1063928562 | Dade Behavioral Services Inc | Behavioral Analyst | 10689 N Kendall Dr Ste 309, Miami, FL 33176 | 2017-12-19 |
| 1619409596 | Antonio Medina Rodriguez | Behavior Technician | 9530 Sw 93 Ct, Miami, FL 33176 | 2017-03-30 |
| 1801348552 | Suresh Rana | Specialist/Technologist, Other | 8780 Sw 88th Ave, Miami, FL 33176 | 2016-10-28 |
| 1205386794 | Orlando Sanchez | Behavior Technician | 10421 Sw 141 St Drive, Miami, FL 33176 | 2016-10-07 |
| 1073066759 | Clayton Davis | Dentist | 8940 N. Kendall Drive 604e, Miami, FL 33176 | 2016-07-28 |
| Find all providers in zip 33176 | ||||
| Taxonomy Code | 207PP0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Pediatric Emergency Medicine |
| Pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/ Board certification is provided by the American Board of Emergency Medicine. Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063828267 | Adriana Marcela Porto | Emergency Medicine | 8900 N Kendall Dr Ste 200, Miami, FL 33176-2118 | 2014-07-08 |
| 1639435498 | Stephanie Ann Melbourne-carbs | Emergency Medicine | 11495 Sw 40th St, Miami, FL 33165 | 2012-04-05 |
| 1427144542 | Fernando G Mendoza | Emergency Medicine | Baptist Hospital Pediatric Emergency Dept., 8900 North Kendall Drive, Miami, FL 33176 | 2006-10-05 |
| 1912939695 | Harry Aguero | Emergency Medicine | 6035 Bird Rd, Suite 202, Miami, FL 33155 | 2006-07-06 |
| 1790716660 | Daniel Green | Emergency Medicine | 3101 Sw 62 Avenue, Miami, FL 33155 | 2006-07-06 |
| 1336762715 | Catalina Moreno Bejarano | Emergency Medicine | 3100 Sw 62nd Ave, Miami, FL 33155-3009 | 2020-05-20 |
| 1255706420 | Katherine Margarita Lens | Emergency Medicine | 3100 Sw 62nd Ave, Miami, FL 33155 | 2015-12-14 |
| 1649685678 | Yurelis Hilda Garcia | Emergency Medicine | 3100 Sw 62nd Ave, Miami, FL 33155 | 2014-06-28 |
| 1134541618 | Emergency Physician Solutions of South Florida, LLC | Emergency Medicine | 11750 Sw 40th St, Miami, FL 33175-3530 | 2014-01-17 |
| 1548503394 | Jessica Cardona | Emergency Medicine | 3100 Sw 62nd Ave, Miami, FL 33155 | 2013-03-30 |
| 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.