Active NPI
Public Health Trust of Miami Dade County Florida
Doing business as PHT North Miami Health Center
- General Practice Physician
- Miami, FL
National Provider Identifier
1114944089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA
- Doing business as
- PHT North Miami Health Center
- Practice address
- 14101 NW 8TH Ave
Miami, FL 33168-6816 - Phone
- (305) 953-3161
- Fax
- (305) 953-3139
- NPI assigned
- Jul 16, 2006
- Last updated
- Apr 22, 2019
- Organization subpart
- Yes
- Parent organization
- PHT OF DADE COUNTY FLORIDA
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Mark T Knight
- Title
- Evp Chief Financial Officer
- Phone
- (305) 585-7137
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | NU | Primary |
Addresses
Primary practice location
14101 NW 8TH Ave
Miami, FL 33168-6816
Mailing address
PO Box 12493
Miami, FL 33101-2493
Phone (786) 466-8101
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010042120 | Medicaid | FL |
Other names 1
- PHT North Miami Health Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031117000037 | FL | Part B Supplier - Clinic/Group Practice | 8628981925 |
Receives reassigned benefits from 94 practitioners 16 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Miami, FL |
Other NPIs on the same Medicare enrollment 5
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba PHT JMH Professional Fees
- Internal Medicine Physician
- Miami, FL
- NPI 1124062542
O20031117000037
-
dba PHT/JHS-JMH Hospitalists
- Hospitalist Physician
- Miami, FL
- NPI 1043395460
O20031117000037
-
dba JMH Community Mental Health Outpatient Clinics
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Miami, FL
- NPI 1366514705
O20031117000037
-
dba JMH Psychosocial Rehab Program
- Adult Day Care Clinic/Center
- Miami, FL
- NPI 1508931973
O20031117000037
-
dba JMH Mental Health Case Management
- Case Management Agency
- Miami, FL
- NPI 1679648844
O20031117000037
National Provider Directory
National Provider Directory- Part of
- Human Resources Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153008000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1555891200000",
"number": "1114944089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 12493",
"city": "MIAMI",
"state": "FL",
"postal_code": "331012493",
"telephone_number": "786-466-8101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14101 NW 8TH AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331686816",
"telephone_number": "305-953-3161",
"fax_number": "305-953-3139"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PHT OF DADE COUNTY FLORIDA",
"enumeration_date": "2006-07-16",
"last_updated": "2019-04-22",
"status": "A",
"authorized_official_last_name": "KNIGHT",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "EVP CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "305-585-7137",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010042120",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "PHT North Miami Health Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "PHT North Miami Health Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Miami, FL
- Public Health Trust of Dade County Florida
- Public Health Trust of Dade County, Florida (JMG ER Physicians)
- Public Health Trust of Miami Dade County Florida (PHT Dr Rafael A Penalver Clinic)
- Public Health Trust of Miami Dade County Florida (PHT/JHS-JMH Hospitalists)
- Public Health Trust of Miami Dade County Florida (JMG Specialty Physicians)
- Public Health Trust of Miami Dade County Florida (Jackson Memorial Long Term Care Center)
- Public Health Trust of Miami Dade County Florida (JMG Specialty Physicians)
- Public Health Trust of Miami Dade County Florida (Jackson Health System Infusion Services)
- Public Health Trust of Miami Dade County Florida (Jackson Pharmacy Jackson South)
- Public Health Trust of Miami Dade County Florida (Jackson Health Systems Jackson Memorial Hospita)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.