Organization Active NPI

Physicians Associates, P.a.

  • Clinic/Center
  • Miami, FL
National Provider Identifier
1043354780
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
PHYSICIANS ASSOCIATES, P.A.
Practice address
6090 Bird Rd
Miami, FL 33155-5252
Phone
(305) 661-6336
Fax
(305) 661-6939
NPI assigned
Feb 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. John M. Kirby, CPA
Title
Secretary
Phone
(305) 264-5252

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X FL Primary

Addresses

Primary practice location

6090 Bird Rd
Miami, FL 33155-5252

Mailing address

2500 SW 75TH Ave
Miami, FL 33155-2805
Phone (305) 264-5252

Other identifiers 1

IdentifierTypeStateIssuer
3702472MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Kevin Fox DO2 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.

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1043354780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 SW 75TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331552805",
            "telephone_number": "305-264-5252",
            "fax_number": "305-269-0751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6090 BIRD RD",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331555252",
            "telephone_number": "305-661-6336",
            "fax_number": "305-661-6939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "KIRBY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "305-264-5252",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3702472",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jul 21, 2022; 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.