Organization Active NPI

Myles K. Krieger, M.D., P.a.

  • Otolaryngology/Facial Plastic Surgery Physician
  • Hollywood, FL
National Provider Identifier
1104128438
Registry record updated Nov 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
License
ME26172 Issued in FL
Legal business name
MYLES K. KRIEGER, M.D., P.A.
Practice address
4340 Sheridan St
Suite #202
Hollywood, FL 33021-3567
Phone
(954) 963-3222
NPI assigned
Nov 18, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2010

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

Authorized official

Name
Ana Campos
Title
Account Manager
Phone
(954) 963-3222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology/Facial Plastic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207YX0905X ME26172 FL Primary

Addresses

Primary practice location

4340 Sheridan St
Suite #202
Hollywood, FL 33021-3567

Mailing address

4340 Sheridan St
Suite #202
Hollywood, FL 33021-3567
Phone (954) 963-3222

Other identifiers 1

IdentifierTypeStateIssuer
ME26172OtherFLSTATE LICENSE NUMBER

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1290038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290038400000",
    "number": "1104128438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4340 SHERIDAN ST",
            "address_2": "SUITE #202",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330213567",
            "telephone_number": "954-963-3222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4340 SHERIDAN ST",
            "address_2": "SUITE #202",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330213567",
            "telephone_number": "954-963-3222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYLES K. KRIEGER, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-18",
        "last_updated": "2010-11-18",
        "status": "A",
        "authorized_official_last_name": "CAMPOS",
        "authorized_official_first_name": "ANA",
        "authorized_official_title_or_position": "ACCOUNT MANAGER",
        "authorized_official_telephone_number": "954-963-3222"
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "FL",
            "license": "ME26172",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "ME26172",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2010; 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.