Organization Active NPI

John a. King, M.D., P.a.

  • Vascular Surgery Physician
  • Miami Shores, FL
National Provider Identifier
1003016981
Registry record updated Nov 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
ME25761 Issued in FL
Legal business name
JOHN A. KING, M.D., P.A.
Practice address
1300 NE 103Rd St
Miami Shores, FL 33138-2624
Phone
(305) 754-1087
NPI assigned
Jul 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. John A King, M.D.NPI 1336159771
Title
President
Phone
(305) 754-1087

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0129X ME25761 FL Primary

Addresses

Primary practice location

1300 NE 103Rd St
Miami Shores, FL 33138-2624

Mailing address

PO Box 530005
Miami, FL 33153-0005

National Provider Directory

National Provider Directory

Locations

9536 NE 2nd Ave
Miami Shores, FL 33138
Phone (305) 754-7521

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194220800000",
    "number": "1003016981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 530005",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331530005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 NE 103RD ST",
            "city": "MIAMI SHORES",
            "state": "FL",
            "postal_code": "331382624",
            "telephone_number": "305-754-1087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN A. KING, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-19",
        "last_updated": "2007-11-05",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-754-1087",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "FL",
            "license": "ME25761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Shores, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.