Memorial Division of Pediatric Otolaryngology

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9106938 Issued in FL

Legal business name

MEMORIAL DIVISION OF PEDIATRIC OTOLARYNGOLOGY

Practice address

1150 N 35TH Ave
Suite 490
Hollywood, FL 33021-5424

Phone

(954) 265-1616

Fax

(954) 893-6325

NPI assigned

Dec 31, 2012

Last updated

Dec 31, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Samuel Ostrower, M.DNPI 1609036359

Title

Otolaryngologist

Phone

(954) 265-1616

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Samuel T Ostrower, MD

  • Otolaryngology Physician
  • Hollywood, FL
  • NPI 1609036359
  Authorized official Same address or phone

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

{
    "created_epoch": "1356912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356912000000",
    "number": "1053657650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 N 35TH AVE",
            "address_2": "SUITE 490",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330215424",
            "telephone_number": "954-265-1616",
            "fax_number": "954-893-6325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 N 35TH AVE",
            "address_2": "SUITE 490",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330215424",
            "telephone_number": "954-265-1616",
            "fax_number": "954-893-6325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL DIVISION OF PEDIATRIC OTOLARYNGOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-31",
        "last_updated": "2012-12-31",
        "status": "A",
        "authorized_official_last_name": "OSTROWER",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "OTOLARYNGOLOGIST",
        "authorized_official_telephone_number": "954-265-1616",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9106938",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "PA9106938",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Melguizovski
• Allison Marie Melograno, AU.D
• John Nicholas Melvan, M.D., PH.D.
• Melvin M. Grossman, M.D.
• Karla Membribes
• Memorial Healthcare
• Memorial Healthcare System
• Memorial Home Health Services, LLC
• Memorial Hospitalist Inc
• Memorial Medical Group of South Florida, LLC (Memorial Mental Health Of South Florida)

• Physician Assistant in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2012; 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.