DR. JESSICA MACKEY BABCOCK (NPI# 1700187440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700187440 |
| Entity Type | Individual |
| Full Name | DR. JESSICA MACKEY BABCOCK |
| Credential | M.D. |
| Practice Address |
11760 Sw 40th St Ste 722 Miami FL 33175-8101 |
| Practice Telephone | 3055591883 |
| Practice Fax Number | 3055591887 |
| Mailing Telephone | 3055591883 |
| Mailing Fax Number | 3055591887 |
| Enumeration Date | 2010-11-11 |
| Last Update Date | 2020-07-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | A147889 | CA | Allopathic & Osteopathic Physicians |
| Y | 2086S0127X |
Surgery Specialization: Trauma Surgery |
ME144928 | FL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1611 Nw 12th Ave, Miami, FL 331361005 | 3055851293 | |
| 11370 Anderson St Ste 2100, Loma Linda, CA 92354 | 9095582822 | |
| 230 N Broad St, Philadelphia, PA 191021121 | 2157623585 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679043335 | Jessica Babcock | Speech-Language Pathologist | 4000 Wellness Dr, Midland, MI 48670-2000 | 2018-11-26 |
| 1902330921 | Jessica Babcock | Massage Therapist | 1416 Se 8th Ave, Portland, OR 97214-3537 | 2017-04-17 |
| 1043504749 | Jessica Ria Babcock | Physician Assistant | 11725 Stinson Ave, Chisago City, MN 55013-9542 | 2011-05-31 |
| Street Address |
11760 SW 40TH ST STE 722 |
| City | MIAMI |
| State | FL |
| Zip Code | 33175-8101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841374295 | Enzo Javier Garcia | Pediatrics | 11760 Sw 40th St Ste 722, Miami, FL 33175-8101 | 2006-10-24 |
| 1194285577 | Mailen Gomez | Nurse Practitioner | 11760 Sw 40th St Ste 722, Miami, FL 33175-8101 | 2019-03-22 |
| 1982135042 | Orlando Gil | Nurse Practitioner | 11760 Sw 40th St Ste 722, Miami, FL 33175-8101 | 2017-03-21 |
| 1588013114 | Alexander Anzardo | Nurse Practitioner | 11760 Sw 40th St Ste 722, Miami, FL 33175-8101 | 2016-06-04 |
| 1104239946 | Michael Leonard Renda | Surgery | 11760 Sw 40th St Ste 722, Miami, FL 33175-8101 | 2014-06-10 |
| 1104259712 | Scott Michael Sandilands | Orthopaedic Surgery | 11760 Sw 40th St Ste 722, Miami, FL 33175-8101 | 2013-08-19 |
| 1811233877 | Tamara Yvonne Kairuz | Physician Assistant | 11760 Sw 40th St Ste 722, Miami, FL 33175-8101 | 2012-12-19 |
| 1063672061 | Fernando Javier Perez | Pediatrics | 11760 Sw 40th St Ste 722, Miami, FL 33175 | 2008-06-12 |
| 1285836718 | Colin G Knight | Surgery | 11760 Sw 40th St Ste 722, Miami, FL 33175 | 2007-06-05 |
| 1871710004 | Jack Marek Klem | Neurological Surgery | 11760 Sw 40th St Ste 722, Miami, FL 33175-8101 | 2007-04-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548885965 | Kevin Bernardo Gonzalez | Behavior Technician | 11895 Sw 37 St, Miami, FL 33175 | 2020-06-11 |
| 1619509106 | Gladysbel Lorenzo | Nurse Practitioner | 11740 Sw 42st, Miami, FL 33175 | 2020-02-12 |
| 1154885200 | Vanessa Arzola Dmd Pa and Associates | Clinic/Center | 13419 Sw 56th Street, Miami, Miami, FL 33175 | 2019-01-23 |
| 1588145932 | Mailen Gonzalez | Nurse Practitioner | 12294 Sw 29 Ter, Miami, FL 33175 | 2018-08-23 |
| 1639655350 | Carolina Marie Trueba | Behavior Technician | 12825 Sw 49th Terr, Miami, FL 33175 | 2018-07-16 |
| 1033611504 | Joan Coro | Behavior Technician | 12905 Sw 42nd St Suite 219, Miami, FL 33175 | 2018-03-01 |
| 1417456864 | Ignacio Alzugaray | Nurse Practitioner | 12317 Sw 20th Ter, Miami, FL 33175 | 2018-02-12 |
| 1215436993 | Desiree Rengifo-glasgow | Nurse Practitioner | 11865 Sw 26th St Ste J2, Miami, FL 33175 | 2018-02-07 |
| 1639678691 | Behavior Professional Consultants Corp. | Community/Behavioral Health | 2460 Sw 137th Ave 242, Miami, FL 33175 | 2018-02-06 |
| 1992204291 | Humberto Lorenzo Paez | Nurse Practitioner | 4205 Sw 136th Place, Miami, FL 33175 | 2018-02-02 |
| Find all providers in zip 33175 | ||||
| Taxonomy Code | 2086S0127X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Trauma Surgery |
| Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency. |
| Notes: Source: American Board of Surgery, 2007 [1/1/2008: definition added, source added] Additional Resources: http://www.absurgery.org/. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861903221 | Asaf Kedar | Surgery | 1800 Nw 10th Ave, Miami, FL 33136-1018 | 2017-10-12 |
| 1720463979 | Mahmoud Ahmad | Surgery | 11750 Sw 40th St, Miami, FL 33175-3530 | 2015-07-29 |
| 1053636324 | Shevonne Sasha Lee Satahoo | Surgery | 1611 Nw 12th Ave, Miami, FL 33136-1005 | 2010-03-30 |
| 1659507523 | Rishi Rattan | Surgery | 1800 Nw 10th Ave, T215 (d-40), Miami, FL 33136-1018 | 2009-06-05 |
| 1295998110 | Gerd Daniel Pust | Surgery | 1611 Nw 12th Ave, Miami, FL 33136-1005 | 2008-07-10 |
| 1255532990 | Daniel Dante Yeh | Surgery | 1611 Nw 12th Ave, Miami, FL 33136-1005 | 2007-05-30 |
| 1114078912 | Donald Robinson | Surgery | 1150 Nw 14th St, Suite 407, Miami, FL 33136-2137 | 2007-01-16 |
| 1801989637 | Antonio Marttos | Surgery | 1800 Nw 10th Ave, Miami, FL 33136-1018 | 2006-10-02 |
| 1043262603 | University of Miami | Surgery | 1611 Nw 12th Ave, Box 016960 M851, Miami, FL 33136-1005 | 2006-05-16 |
| 1679539977 | Carl I. Schulman | Surgery | 1611 Nw 12th Ave, Box 016960 M851, Miami, FL 33136-1005 | 2006-04-25 |
| 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.