PEDIATRIX MEDICAL GROUP OF GA PC (NPI# 1972695260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972695260 |
| Entity Type | Organization |
| Organization Name | PEDIATRIX MEDICAL GROUP OF GA PC |
| Other Organization Name | ATLANTA MATERNAL-FETAL MEDICINE AN AFFILIATE OF OBSTETRIX MEDICAL GROU |
| Practice Address |
1301 Concord Ter Sunrise FL 33323-2843 |
| Mailing Address |
1300 Sawgrass Corporate Parkway Suite 200 Sunrise FL 33323-2843 |
| Practice Telephone | 9543840175 |
| Practice Fax Number | 9548511948 |
| Mailing Telephone | 8002433839 |
| Mailing Fax Number | 9548511948 |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2011-04-27 |
| Authorized Official Name | ALAN B OLIVER (AUTHORIZED SIGNATOR) |
| Authorized Official Telephone | 9543840175 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VM0101X |
Obstetrics & Gynecology Specialization: Maternal & Fetal Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 300041899A | 05 |
| Other Name | Type Code |
|---|---|
| Atlanta Maternal-Fetal Medicine an affiliate of Obstetrix Medical Grou | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295827574 | Pediatrix Medical Group of Ga PC | Pediatrics | 1301 Concord Ter, Sunrise, FL 33323-2843 | 2006-09-28 |
| 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 | 207VM0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Maternal & Fetal Medicine |
| An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750380150 | Craig S Kalter | Obstetrics & Gynecology | 1500 Concord Ter, Sunrise, FL 33323-2815 | 2005-07-18 |
| 1437397262 | Obstetrix Medical Group of Oklahoma PC | Obstetrics & Gynecology | 1301 Concord Ter, Sunrise, FL 33323-2843 | 2009-02-02 |
| 1730265919 | Pediatrix Medical Group, Inc. | Obstetrics & Gynecology | 1301 Concord Ter, Sunrise, FL 33323-2843 | 2006-10-31 |
| 1083711790 | Pediatrix Medical Group of Florida Inc | Obstetrics & Gynecology | 1301 Concord Ter, Sunrise, FL 33323-2843 | 2006-09-17 |
| 1407953110 | Michael Pokroy, M.d. Prof. Corp. | Obstetrics & Gynecology | 1301 Concord Ter, Sunrise, FL 33323-2843 | 2006-09-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568877538 | Sunshine Perinatology Specialists, M.d., P.a. | Obstetrics & Gynecology | 2310 North Blvd W, Davenport, FL 33837 | 2014-06-27 |
| 1780983114 | Maternal Fetal Medicine of Southwest Florida | Obstetrics & Gynecology | 210 Del Prado Blvd, Suite 1, Cape Coral, FL 33990-1763 | 2011-03-24 |
| 1427357854 | Maternal Fetal Medine of Sw Flordia | Obstetrics & Gynecology | 26800 S. Tamiami Tr, Suite 230, Bonita Springs, FL 34134-4390 | 2011-03-24 |
| 1336305614 | Christensen Maternal & Fetal Medicine | Obstetrics & Gynecology | 2100 Aloma Ave, Suite 100, Winter Park, FL 32792-3301 | 2008-08-06 |
| 1871782748 | Jose R Duncan Arosemena | Obstetrics & Gynecology | 2 Tampa General Cir Fl Circle6, Tampa, FL 33606-3603 | 2007-10-17 |
| 1336350446 | Amy Alicia Flick | Obstetrics & Gynecology | 15735 Pines Blvd, Pembroke Pines, FL 33027-1207 | 2007-05-24 |
| 1639214190 | Fausto Innamorati | Obstetrics & Gynecology | 780 Sw 28th Street, Fort Lauderdale, FL 33315-2643 | 2007-02-21 |
| 1831299767 | Ruel Tyrone Stoessel | Obstetrics & Gynecology | 8645 N Military Trail, Suite 508, Palm Beach Gardens, FL 33410-6296 | 2006-09-22 |
| 1891709630 | Jerry N Gilles | Obstetrics & Gynecology | 300 Se 17th Street, Suite 300, Fort Lauderdale, FL 33316 | 2006-07-28 |
| 1003837527 | Daniel George Kiefer | Obstetrics & Gynecology | 3438 Lawton Rd Ste 2a, Orlando, FL 32803 | 2006-07-21 |
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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.