Organization Active NPI

East/West Pediatrics, P.a.

  • Pediatrics Physician
  • Plantation, FL
National Provider Identifier
1114982899
Registry record updated May 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME0037416 Issued in FL
Legal business name
EAST/WEST PEDIATRICS, P.A.
Practice address
106 NW 100TH Ave
Plantation, FL 33324-7008
Phone
(954) 452-7576
Fax
(954) 452-8248
NPI assigned
Apr 18, 2006
Organization subpart
Yes
Parent organization
EAST/WEST PEDIATRICS, P.A.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 15, 2008

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

Authorized official

Name
Mrs. Ragini Dharmappa
Title
Office Manager
Phone
(954) 452-7576

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208000000X ME0037416 FL Primary
Pediatrics PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208000000X ME0037089 FL

Addresses

Primary practice location

106 NW 100TH Ave
Plantation, FL 33324-7008

Mailing address

106 NW 100TH Ave
Plantation, FL 33324-7008
Phone (954) 452-7576

Other identifiers 2

IdentifierTypeStateIssuer
ME0037089OtherFLSTATE LICENSE
ME0037416OtherFLST LICENSE

National Provider Directory

National Provider Directory
Tax ID family
Eastwest Pediatrics PA2 organizations share this tax ID, including this one
Part of
Eastwest Pediatrics PA

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

106 NW 100th Ave
Plantation, FL 33324
Phone (954) 452-7576

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210809600000",
    "number": "1114982899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 NW 100TH AVE",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333247008",
            "telephone_number": "954-452-7576",
            "fax_number": "954-452-8248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 NW 100TH AVE",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333247008",
            "telephone_number": "954-452-7576",
            "fax_number": "954-452-8248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST/WEST PEDIATRICS, P.A.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EAST/WEST PEDIATRICS, P.A.",
        "enumeration_date": "2006-04-18",
        "last_updated": "2008-05-15",
        "status": "A",
        "authorized_official_last_name": "DHARMAPPA",
        "authorized_official_first_name": "RAGINI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "954-452-7576",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME0037416",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME0037089",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "ME0037089",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ST LICENSE",
            "identifier": "ME0037416",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.