Pediatric Hospitalist of Homestead, LLC

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

Legal business name

PEDIATRIC HOSPITALIST OF HOMESTEAD, LLC

Practice address

151 NW 11TH St
Suite E202
Homestead, FL 33030-4360

Phone

(305) 245-3220

Fax

(305) 247-5849

NPI assigned

Nov 24, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Dorsey Lamar Goosby, MD

Title

Ceo

Phone

(305) 245-3220

Specialties & licenses 1

Addresses

Tax ID family

Pediatric Hospitalist of Homestead2 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.

• Pediatric Hospitalist of Homestead

  • Pediatrics Physician
  • Homestead, FL
  • NPI 1013111053
  NPD tax ID

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

{
    "created_epoch": "1227484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227484800000",
    "number": "1073768651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 NW 11TH ST",
            "address_2": "SUITE E202",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330304360",
            "telephone_number": "305-245-3220",
            "fax_number": "305-247-5849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 NW 11TH ST",
            "address_2": "SUITE E202",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330304360",
            "telephone_number": "305-245-3220",
            "fax_number": "305-247-5849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC HOSPITALIST OF HOMESTEAD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-24",
        "last_updated": "2008-11-24",
        "status": "A",
        "authorized_official_last_name": "GOOSBY",
        "authorized_official_first_name": "DORSEY",
        "authorized_official_middle_name": "LAMAR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "305-245-3220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pediatric Associates of South Florida LLC
• Pediatric Dental Center of Homestead
• Pediatric Dental Center of Homestead II
• Pediatric Emergency Network PA
• Pediatric Hospitalist of Homestead
• Pediatrix Medical Group of Florida, Inc
• Rachel Ramona Pedraza Gonzalez
• Christy Pedraza Perez
• Meila Pedraza Perez
• Melanie Pedraza Perez

• Hospitalist Physician in Homestead, FL
• Providers in Homestead, FL by specialty
• Hospitalist Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2008; 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.