Active NPI
Variety Children'S Hospital
- Pediatrics Physician
- Miami, FL
National Provider Identifier
1023056777
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- VARIETY CHILDREN'S HOSPITAL
- Practice address
- 3200 SW 62ND CT
Miami, FL 33155-3069 - Phone
- (305) 669-6505
- Fax
- (305) 669-6447
- NPI assigned
- Jun 3, 2006
- Organization subpart
- Yes
- Parent organization
- NICKLAUS CHILDREN'S HOSPITAL
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Timothy Birkenstock
- Title
- Cfo & Senior VP
- Phone
- (305) 666-6511
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Primary | ||
| Case Management Agency | 251B00000X |
Addresses
Primary practice location
3200 SW 62ND CT
Miami, FL 33155-3069
Mailing address
PO Box 863940
Orlando, FL 32886-3940
Phone (786) 624-5876
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010060914 | Medicaid | FL | |
| 010060909 | Medicaid | FL | |
| 010060916 | Medicaid | FL | |
| 010060911 | Medicaid | FL |
Other names 1
- NCH Pediatric Care Center
National Provider Directory
National Provider Directory- Part of
- Variety Children'S Hospital
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Legal Medicine
- Miami, FL
- NPI 1801860770
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149292800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1457049600000",
"number": "1023056777",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 863940",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328863940",
"telephone_number": "786-624-5876",
"fax_number": "786-624-2688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 SW 62ND CT",
"city": "MIAMI",
"state": "FL",
"postal_code": "331553069",
"telephone_number": "305-669-6505",
"fax_number": "305-669-6447"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VARIETY CHILDREN'S HOSPITAL",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "NICKLAUS CHILDREN'S HOSPITAL",
"enumeration_date": "2006-06-03",
"last_updated": "2016-03-04",
"status": "A",
"authorized_official_last_name": "BIRKENSTOCK",
"authorized_official_first_name": "TIMOTHY",
"authorized_official_title_or_position": "CFO & SENIOR VP",
"authorized_official_telephone_number": "305-666-6511",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010060914",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010060909",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010060916",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010060911",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "NCH Pediatric Care Center",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.