Dimitri P Lopez Linnikov (NPI# 1548539000, PAC ID# 5092949693) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1548539000 |
| PAC ID by PECOS | 5092949693 |
| Professional Enrollment ID | I20131015001414 |
| Full Name | Dimitri P Lopez Linnikov |
| Organization Legal Name | PHOENIX OBSTETRICS-GYNECOLOGY LLC |
| Address |
200 Nw 7th Ave Fort Lauderdale FL 33311-9026 |
| Phone Number | 9543555110 |
| Gender | M |
| Graduation Year | 2006 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 3971553298 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100039 | BROWARD HEALTH MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 200 Nw 7th Ave, Fort Lauderdale, FL 33311-9026 | 9543555110 | PHOENIX OBSTETRICS-GYNECOLOGY LLC |
| Organization Legal Name | PHOENIX OBSTETRICS-GYNECOLOGY LLC |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jorge A Gallo | Obstetrics/gynecology | Phoenix Obstetrics-gynecology LLC | 200 Nw 7th Ave, Fort Lauderdale, FL 33311-9026 |
| Michelle M Fletcher | Obstetrics/gynecology | Phoenix Obstetrics-gynecology LLC | 200 Nw 7th Ave, Fort Lauderdale, FL 33311-9026 |
| Karla M Ortiz-gonzalez | Obstetrics/gynecology | Phoenix Obstetrics-gynecology LLC | 200 Nw 7th Ave, Fort Lauderdale, FL 33311-9026 |
| Shelby L Wilbourn | Obstetrics/gynecology | Phoenix Obstetrics-gynecology LLC | 1600 S Andrews Ave, West Wing Rm 342, Fort Lauderdale, FL 33316-2510 |
| Claudio Diaz-socarras | Obstetrics/gynecology | Phoenix Obstetrics-gynecology LLC | 1600 S Andrews Ave, West Wing Rm 342, Fort Lauderdale, FL 33316-2510 |
| Michelle Margaret Roachford | Certified Nurse Midwife | Phoenix Obstetrics-gynecology LLC | 200 Nw 7th Ave, Fort Lauderdale, FL 33311-9026 |
| Julio C Coello | Obstetrics/gynecology | Phoenix Obstetrics-gynecology LLC | 1600 S Andrews Ave, Fort Lauderdale, FL 33316-2510 |
| Ann Marie Emmonette | Certified Nurse Midwife | Phoenix Obstetrics-gynecology LLC | 200 Nw 7th Ave, Fort Lauderdale, FL 33311-9026 |
| Imelda Jean Pierre | Certified Nurse Midwife | Phoenix Obstetrics-gynecology LLC | 200 Nw 7th Ave, Fort Lauderdale, FL 33311-9026 |
| William Alphonse Petersen | Obstetrics/gynecology | Phoenix Obstetrics-gynecology LLC | 200 Nw 7th Ave, Fort Lauderdale, FL 33311-9026 |
| Street Address |
200 NW 7TH AVE |
| City | FORT LAUDERDALE |
| State | FL |
| Zip | 33311-9026 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jorge A Gallo | Obstetrics/gynecology | Phoenix Obstetrics-gynecology LLC | 200 Nw 7th Ave, Fort Lauderdale, FL 33311-9026 |
| Susana Z Brandt | Family Medicine | North Broward Hospital District | 200 Nw 7th Ave, Fort Lauderdale, FL 33311-9026 |
| Janet H Gerner | Clinical Social Worker | North Broward Hospital District | 200 Nw 7th Ave, Fort Lauderdale, FL 33311-9026 |
| Rafael Jose Luces | Nurse Practitioner | North Broward Hospital District | 200 Nw 7th Ave, Fort Lauderdale, FL 33311-9026 |
| Ia B Zagvazdina | Internal Medicine | North Broward Hospital District | 200 Nw 7th Ave, Fort Lauderdale, FL 33311-9026 |
| Janet L Revilla | Nurse Practitioner | North Broward Hospital District | 200 Nw 7th Ave, Fort Lauderdale, FL 33311-9026 |
| Nadia Melba Alethia Cumberbatch | Family Medicine | North Broward Hospital District | 200 Nw 7th Ave, Fort Lauderdale, FL 33311-9026 |
| Adolfo Gonzalez Garcia | Obstetrics/gynecology | Premiere Perinatal Associates, Pa | 200 Nw 7th Ave, Fort Lauderdale, FL 33311-9026 |
| Michelle M Fletcher | Obstetrics/gynecology | Phoenix Obstetrics-gynecology LLC | 200 Nw 7th Ave, Fort Lauderdale, FL 33311-9026 |
| Karla M Ortiz-gonzalez | Obstetrics/gynecology | Phoenix Obstetrics-gynecology LLC | 200 Nw 7th Ave, Fort Lauderdale, FL 33311-9026 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel Charles Carney | Physical Medicine and Rehabilitation | Catholic Health Services Inc | 3487 Nw30th St, Lauderdale Lakes, FL 33311-1103 |
| Bashir U Shaikh | Internal Medicine | North Broward Hospital District | Bh Lauderdale Lakes Hlth Ctr, 3716 W Oakland Blvd, Lauderdale Lakes, FL 33311-1134 |
| Robert D Schickler | Obstetrics/gynecology | North Broward Hospital District | Bh Lauderdale Lakes Hlth Ctr, 3716 W Oakland Blvd, Lauderdale Lakes, FL 33311-1134 |
| Javier Archilla | Optometry | Mobile Doctors of Florida Pa | 3670 W Oakland Park Boulevard, Lauderdale Lakes, FL 33311-1148 |
| Pierre A Gaston | General Practice | 2901 W Oakland Park Blvd, A 4 5, Oakland Park, FL 33311-1243 | |
| Emmanuel Eloi | General Practice | 2764 W Oakland Park Blvd, Ft Lauderdale, FL 33311-1336 | |
| Arlene B Crystal | Clinical Social Worker | 2880 W Oakland Park Blvd, Suite 226, Oakland Park, FL 33311-1368 | |
| Claudia Navas | Diagnostic Radiology | Elite Imaging LLC | 1799 W Oakland Park Blvd, Suite 105, Oakland Park, FL 33311-1537 |
| Louis M Newman | Podiatry | 512 W Oakland Park Blvd, Wilton Manors, FL 33311-1726 | |
| Mary B Lopez | Clinical Psychologist | Center for Clinical and Forensic Psychology Inc | 2251 Nw29th Ct, Oakland Park, FL 33311-2147 |
| Find all physicians in zip 33311 | |||
| City | FORT LAUDERDALE |
| Zip Code | 33311 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | FORT LAUDERDALE + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on Dimitri P Lopez Linnikov.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.