VARIETY CHILDERN'S HOSPITAL (NPI# 1871736975) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871736975 |
| Entity Type | Organization |
| Organization Name | VARIETY CHILDERN'S HOSPITAL |
| Other Organization Name | MCH RADIOLOGY |
| Practice Address |
13400 Sw 120th St Suite 100 & 200 Miami FL 33186-7440 |
| Mailing Address |
Po Box 863942 Orlando FL 32886-3942 |
| Practice Telephone | 7866245363 |
| Mailing Telephone | 3056628334 |
| Mailing Fax Number | 7866242688 |
| Enumeration Date | 2009-04-20 |
| Last Update Date | 2014-10-29 |
| Authorized Official Name | TIMOTHY BIRKENSTOCK (SENIOR VP & CFO) |
| Authorized Official Telephone | 3056696422 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085P0229X |
Radiology Specialization: Pediatric Radiology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 256985007 | 05 |
| Other Name | Type Code |
|---|---|
| MCH Radiology | Doing Business As Name - Organization |
| Street Address |
13400 SW 120TH ST SUITE 100 & 200 |
| City | MIAMI |
| State | FL |
| Zip Code | 33186-7440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093768426 | Andrea Hayward | Physical Therapist | 13400 Sw 120th St, Miami, FL 33186-7440 | 2006-05-18 |
| 1568904746 | Claremedica Health Group, LLC | Family Medicine | 13400 Sw 120th St, Suite 305, Miami, FL 33186-7440 | 2016-11-05 |
| 1427401777 | Pediatric Specialty Group, Inc. | Orthopaedic Surgery | 13400 Sw 120th St, Miami, FL 33186-7440 | 2016-07-21 |
| 1750725727 | Rebecca Bernstein | Nurse Practitioner | 13400 Sw 120th St, Miami, FL 33186-7440 | 2013-04-22 |
| 1912286246 | Lourdes Ferreiro | Physical Therapist | 13400 Sw 120th St, Miami, FL 33186-7440 | 2011-08-04 |
| 1922387273 | Melissa J. Harrell | Physical Therapist | 13400 Sw 120th St, Miami, FL 33186-7440 | 2011-08-04 |
| 1518246842 | Milena M. Hormazbal | Occupational Therapist | 13400 Sw 120th St, Miami, FL 33186-7440 | 2011-08-04 |
| 1285945493 | Mch Pediatric Cardiology, LLC | Radiology | 13400 Sw 120th St, Suite 200, Miami, FL 33186-7440 | 2010-06-23 |
| 1174859896 | Main Street Children's Dentistry and Orthodontics At London Square, Pa | Dentist | 13400 Sw 120th St, Ste 310, Miami, FL 33186-7440 | 2009-10-30 |
| 1235367756 | Margarett Ferrer | Speech-Language Pathologist | 13400 Sw 120th St, Miami, FL 33186-7440 | 2009-06-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962010934 | West Kendall Medical LLC | Durable Medical Equipment & Medical Supplies | 13805 Sw 128th St Ste 201b, Miami, FL 33186 | 2020-07-16 |
| 1902446040 | Claudia Alfonso | Behavior Technician | 13838 Sw 139 Ct, Miami, FL 33186 | 2020-01-07 |
| 1740825256 | West Kendall Baptist Hospital Inc | Non-Pharmacy Dispensing Site | 14150 Sw 136 Street, Miami, FL 33186 | 2019-11-08 |
| 1114561768 | Jami Ferrare | Nurse Practitioner | 9862 Sw 118th Ave, Miami, FL 33186 | 2019-11-06 |
| 1659913473 | Lissette Blanco | Behavior Technician | 9120 Sw 143 Ave, Miami, FL 33186 | 2019-10-14 |
| 1548819949 | Crystal Domenech | Clinic/Center | Stars Center for Speech Therapy & Related Services LLC, 12030 Sw 129th Ct #209, Miami, FL 33186 | 2019-09-09 |
| 1780243931 | Amore Mental Health Corp. | Case Management | 14221 Sw 120 Street, Suite 109, Miami, FL 33186 | 2019-06-11 |
| 1639631047 | Dynasty Mental Health, Inc | Clinic/Center | 13590 Sw 134th Ave Ste 203, Miami, FL 33186 | 2019-04-03 |
| 1922575133 | University Health Care West Kendall, Inc. | Clinic/Center | 13611 Sw 131 Street, Miami, FL 33186 | 2018-10-25 |
| 1245705904 | Lamberto Hernandez | Registered Nurse | 12604 Sw 119th Path, Miami, FL 33186 | 2018-10-09 |
| Find all providers in zip 33186 | ||||
| Taxonomy Code | 2085P0229X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Pediatric Radiology |
| A radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the care and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital malformations, diseases peculiar to infants and children and diseases that begin in childhood but cause substantial residual impairment in adulthood. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063966901 | Pediatric Specialty Group, Inc. | Radiology | 3100 Sw 62nd Ave, 1st Floor, Suite B- Department of Radiology, Miami, FL 33155 | 2016-08-09 |
| 1467794305 | Julio Daniel Egusquiza | Radiology | 3100 Sw 62nd Ave, Miami, FL 33155-3009 | 2013-03-18 |
| 1679846935 | Variety Children's Hospital | Radiology | 3915 Biscayne Blvd, Miami, FL 33137-3779 | 2012-02-17 |
| 1265728935 | Rachel Pevsner Crum | Radiology | 3100 Sw 62nd Ave, Miami, FL 33155-3009 | 2011-06-21 |
| 1285945493 | Mch Pediatric Cardiology, LLC | Radiology | 13400 Sw 120th St, Suite 200, Miami, FL 33186-7440 | 2010-06-23 |
| 1861625378 | Maria D'almeida Bastos | Radiology | 1611 Nw 12th Ave, West Wing 279, Miami, FL 33136-1005 | 2009-08-31 |
| 1891926333 | Enrique Alvarado Burgos | Radiology | 3100 Sw 62nd Ave, Miami, FL 33155 | 2009-07-31 |
| 1104012715 | Philip Teitelbaum | Radiology | 8900 N. Kendall Drive, Children's Hospital Boston, Miami, FL 33176-2118 | 2007-09-18 |
| 1346447786 | Aaron D Nordgren | Radiology | 8900 N Kendall Dr, Miami, FL 33176 | 2007-06-29 |
| 1205987120 | Gisela Henriquez | Radiology | 1150 Nw 14th St, Suite 407, Miami, FL 33136-2137 | 2007-01-16 |
| 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.