Individual provider Active NPI

Ludwika Harrison, MD

  • General Practice Physician
  • Miami Beach, FL
National Provider Identifier
1033105390
Registry record updated Aug 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME 17057 Issued in FL
Practice address
1St Street to 65TH Street
House Call Practice
Miami Beach, FL 33139
Phone
(305) 672-6339
NPI assigned
Sep 22, 2005
Last updated
Aug 19, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ME 17057 FL Primary

Addresses

Primary practice location

1St Street to 65TH Street
House Call Practice
Miami Beach, FL 33139

Mailing address

1325 Lenox Ave
Miami Beach, FL 33139-3819
Phone (305) 672-6339

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100319000354 FL Practitioner - Internal Medicine 9537294202 Practice locations: Miami Beach, FL

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME 17057FLMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313712000000",
    "number": "1033105390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 LENOX AVE",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331393819",
            "telephone_number": "305-672-6339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1ST STREET TO 65TH STREET",
            "address_2": "HOUSE CALL PRACTICE",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "33139",
            "telephone_number": "305-672-6339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "LUDWIKA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-22",
        "last_updated": "2011-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME 17057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

Verify at the official NPI Registry.