CHILDREN'S MEDICAL CENTER, PA. (NPI# 1790905305) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790905305 |
| Entity Type | Organization |
| Organization Name | CHILDREN'S MEDICAL CENTER, PA. |
| Practice Address |
12251 Taft St Pembroke Pines FL 33026-1956 |
| Practice Telephone | 9544357000 |
| Practice Fax Number | 9544357185 |
| Mailing Telephone | 9544357000 |
| Mailing Fax Number | 9544357185 |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2011-09-19 |
| Authorized Official Name | THEODORE MORRISON (PRESIDENT) |
| Authorized Official Telephone | 9549896000 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 302F00000X | Exclusive Provider Organization | ME5015 | FL | Managed Care Organizations |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 060425901 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184842395 | Children's Medical Center, Pa. | Exclusive Provider Organization | 20170 Pines Blvd, Suite 203, Pembroke Pines, FL 33029-1259 | 2007-04-23 |
| Street Address |
12251 TAFT ST |
| City | PEMBROKE PINES |
| State | FL |
| Zip Code | 33026-1956 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487692075 | Sleep Metrics, Inc | Clinic/Center | 12251 Taft St, Pembroke Pines, FL 33026-1956 | 2006-06-03 |
| 1538727516 | 360 Rehab Services Inc. | Clinic/Center | 12251 Taft St, Pembroke Pines, FL 33026-1901 | 2019-06-04 |
| 1043704026 | Reshma Baddaloo | Dentist | 12251 Taft St, Pembroke Pines, FL 33026-1901 | 2018-06-21 |
| 1033507520 | Superior Nurse Partners LLC | Nursing Care | 12251 Taft St, Suite 302, Pembroke Pines, FL 33026-1901 | 2015-01-06 |
| 1346647781 | Floridan Dental At Pines, Pllc | Dentist | 12251 Taft St, Suite 200, Pembroke Pines, FL 33026-1901 | 2014-12-01 |
| 1881010585 | Richard C Zang | Acupuncturist | 12251 Taft St, Suite #303, Pembroke Pines, FL 33026-1901 | 2014-03-05 |
| 1154694891 | Pembroke Dental Associates | Dentist | 12251 Taft St, Suite 404, Pembroke Pines, FL 33026-1901 | 2012-02-10 |
| 1437455284 | Michaela Marina Hernandez | Physician Assistant | 12251 Taft St, Suite 401, Pembroke Pines, FL 33026-1901 | 2011-01-26 |
| 1528398922 | Seredor Centers Inc | Clinic/Center | 12251 Taft St, Suite 403, Pembroke Pines, FL 33026-1901 | 2010-01-06 |
| 1295060010 | Sleep Florida LLC | Psychiatry & Neurology | 12251 Taft St, Suite 300, Pembroke Pines, FL 33026-1901 | 2009-10-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811488398 | Nathanel A Shammay | Student in an Organized Health Care Education/Training Program | 11251 Renaissance Rd, Cooper City, FL 33026 | 2018-05-21 |
| 1245741313 | Isabel C Gomez | Behavior Technician | 1300 St Charles Place, Pembroke Pines, FL 33026 | 2017-10-17 |
| 1376052233 | Natalie Valentine | Psychologist | 11749 Nw 12th St, Pembroke Pines, FL 33026 | 2017-09-23 |
| 1285159178 | Belkis Perez | Optometrist | 11605 Pines Blvd., Pembroke Pines, FL 33026 | 2017-08-11 |
| 1447792429 | Merlin Abraham | Physical Therapy Assistant | 10794 Pines Blvd #104, Pembroke Pines, FL 33026 | 2016-11-08 |
| 1588024285 | Kerryrose Joyceann Gordon | Registered Nurse | 600 North Hiatus Road, Suite 102, Pembroke Pines, FL 33026 | 2016-02-24 |
| 1659745149 | Grand Dialysis Services LLC | Clinic/Center | 500 N. Hiatus Road, Suite 105, Pembroke Pines, FL 33026 | 2015-11-20 |
| 1992107999 | Therapies 4 Kids, Inc. | Clinic/Center | 1311-1321 N. Palm Avenue, Pembroke Pines, FL 33026 | 2014-09-22 |
| 1073940631 | Lisa Margo Guertin | Nurse Practitioner | 10836 Morningstar Drive, Hollywood, FL 33026 | 2013-09-27 |
| 1881930865 | Carol Elizabeth Farrell | Speech-Language Pathologist | 11704 Melaleuca Way, Cooper City, FL 33026 | 2012-12-20 |
| Find all providers in zip 33026 | ||||
| Taxonomy Code | 302F00000X |
| Grouping | Managed Care Organizations |
| Classification | Exclusive Provider Organization |
| (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations. |
| Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 15; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58; (3) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588111454 | Stephanie Savo, Lmhc, LLC | Exclusive Provider Organization | 9000 Sheridan St, Suite 110, Pembroke Pines, FL 33024-8802 | 2016-09-07 |
| 1386944189 | Doctors Medical Management | Exclusive Provider Organization | 501 Nw 179th Ave, Pembroke Pines, FL 33029-2807 | 2010-10-26 |
| 1548456965 | New Century Infusion Solutions | Exclusive Provider Organization | 9050 Pines Blvd, Suite 345, Pembroke Pines, FL 33024-6455 | 2007-09-19 |
| 1023228863 | Frank Driano, D.c,p.a. | Exclusive Provider Organization | 9684 Pines Blvd, Pembroke Pines, FL 33024-6246 | 2007-05-23 |
| 1184842395 | Children's Medical Center, Pa. | Exclusive Provider Organization | 20170 Pines Blvd, Suite 203, Pembroke Pines, FL 33029-1259 | 2007-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730780362 | South Florida Physician Network, LLC | Exclusive Provider Organization | 5000 Sw 75th Ave Ste 202, Miami, FL 33155-4468 | 2020-11-02 |
| 1164040598 | Ito Medical, LLC | Exclusive Provider Organization | 79 Sw 12th St Apt 1511, Miami, FL 33130-5203 | 2020-07-13 |
| 1588292882 | Clarity Dx, Inc. | Exclusive Provider Organization | 1111 Latta Ln, Orlando, FL 32804-6335 | 2020-03-31 |
| 1871126102 | First Harbour Health Management, LLC | Exclusive Provider Organization | 7320 Delainey Ct, Lakewood Ranch, FL 34240-8445 | 2020-02-14 |
| 1295378271 | Community Health Services, Inc | Exclusive Provider Organization | 15315 Nw 60th Ave Ste E, Miami Lakes, FL 33014-2440 | 2019-10-23 |
| 1447808894 | Doctorology, LLC | Exclusive Provider Organization | 6440 Southpoint Pkwy Ste 300, Jacksonville, FL 32216-8003 | 2019-08-29 |
| 1851943591 | Attesor Mso LLC | Exclusive Provider Organization | 3350 Sw 148th Ave Ste 146, Miramar, FL 33027-3257 | 2019-07-12 |
| 1225690563 | Annie Saika Lucien | Exclusive Provider Organization | 2341 Nw 38th Ter, Lauderdale Lakes, FL 33311-2650 | 2019-07-08 |
| 1548728397 | Power Md Mso LLC | Exclusive Provider Organization | 4000 N 37th Ave, Hollywood, FL 33021-1927 | 2019-03-11 |
| 1023575495 | Premiermd Sim, LLC | Exclusive Provider Organization | 3465 Galt Ocean Dr Ste 203, Ft Lauderdale, FL 33308-7077 | 2019-02-21 |
| Find all providers with the same taxonomy | ||||
| City | PEMBROKE PINES |
| Zip Code | 33026 |
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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.