Organization Active NPI

Pahokee Healthcare Incorporated

  • Ophthalmology Physician
  • Pahokee, FL
National Provider Identifier
1013383595
Registry record updated Sep 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME68835 Issued in FL
Legal business name
PAHOKEE HEALTHCARE INCORPORATED
Practice address
170 Barfield Highway
Suite 104
Pahokee, FL 33476
Phone
(561) 432-4141
Fax
(561) 432-4166
NPI assigned
Aug 19, 2015
Last updated
Sep 1, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2015

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

Authorized official

Name
Monique Barbour, MDNPI 1043398175
Title
President
Phone
(561) 906-7292

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X DN0013708 FL
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X ME68835 FL Primary

Addresses

Primary practice location

170 Barfield Highway
Suite 104
Pahokee, FL 33476

Mailing address

7657 Lake Worth Rd
Lake Worth, FL 33467-2534
Phone (561) 432-4141

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1439942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441065600000",
    "number": "1013383595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7657 LAKE WORTH RD",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334672534",
            "telephone_number": "561-432-4141",
            "fax_number": "561-432-4166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 BARFIELD HIGHWAY",
            "address_2": "SUITE 104",
            "city": "PAHOKEE",
            "state": "FL",
            "postal_code": "33476",
            "telephone_number": "561-432-4141",
            "fax_number": "561-432-4166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAHOKEE HEALTHCARE INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-19",
        "last_updated": "2015-09-01",
        "status": "A",
        "authorized_official_last_name": "BARBOUR",
        "authorized_official_first_name": "MONIQUE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-906-7292",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN0013708",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME68835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pahokee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2015; 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.