Pediatric Hospitalist of Homestead

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

PEDIATRIC HOSPITALIST OF HOMESTEAD

Practice address

151 NW 11TH St
Suite E202
Homestead, FL 33030-4360

Phone

(305) 245-3220

Fax

(305) 247-5849

NPI assigned

Jun 13, 2007

Organization subpart

No

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

Authorized official

Name

Dorsey Goosby, MD

Title

Ceo

Phone

(305) 245-3220

Specialties & licenses 1

Addresses

Tax ID family

Pediatric Hospitalist of Homestead2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Pediatric Hospitalist of Homestead, LLC

  • Hospitalist Physician
  • Homestead, FL
  • NPI 1073768651
  NPD tax ID

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013111053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 NW 11TH ST",
            "address_2": "SUITE E202",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330304360",
            "telephone_number": "305-245-3220",
            "fax_number": "305-247-5849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 NW 11TH ST",
            "address_2": "SUITE E202",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330304360",
            "telephone_number": "305-245-3220",
            "fax_number": "305-247-5849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC HOSPITALIST OF HOMESTEAD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOOSBY",
        "authorized_official_first_name": "DORSEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "305-245-3220",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pediatric Associates of Homestead, Inc
• Pediatric Associates of South Florida LLC
• Pediatric Dental Center of Homestead
• Pediatric Dental Center of Homestead II
• Pediatric Emergency Network PA
• Pediatric Hospitalist of Homestead, LLC
• Pediatrix Medical Group of Florida, Inc
• Rachel Ramona Pedraza Gonzalez
• Christy Pedraza Perez
• Meila Pedraza Perez

• Pediatrics Physician in Homestead, FL
• Providers in Homestead, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.