NPIMap

Organization Active NPI

Public Health Trust of Dade County Florida

Doing business as PHT JMH Professional Fees

  • Internal Medicine Physician
  • Miami, FL
National Provider Identifier
1124062542
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
3998 Issued in FL
Legal business name
PUBLIC HEALTH TRUST OF DADE COUNTY FLORIDA
Doing business as
PHT JMH Professional Fees
Practice address
1611 NW 12TH Avenue
Miami, FL 33136
Phone
(305) 585-8957
Fax
(305) 585-5259
NPI assigned
Jun 15, 2006
Last updated
Jun 19, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
PUBLIC HEALTH TRUST OF DADE COUNTYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 19, 2008

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

Authorized official

Name
Mr. Frank J. Barrett
Title
Exec. VP, Chief Financial Officer
Phone
(305) 585-7137

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X 3998 FL
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 3998 FL
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 3998 FL Primary

Addresses

Primary practice location

1611 NW 12TH Avenue
Miami, FL 33136

Mailing address

PO Box 918757
Orlando, FL 32891-8757
Phone (305) 585-8957

Other identifiers 1

IdentifierTypeStateIssuer
010042111MedicaidFL

Other names 1

  • PHT JMH Professional Fees Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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.

National Provider Directory

National Provider Directory
Part of
Human Resources Health

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1124062542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 918757",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328918757",
            "telephone_number": "305-585-8957",
            "fax_number": "305-585-5259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 NW 12TH AVENUE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33136",
            "telephone_number": "305-585-8957",
            "fax_number": "305-585-5259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUBLIC HEALTH TRUST OF DADE COUNTY FLORIDA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PUBLIC HEALTH TRUST OF DADE COUNTY",
        "enumeration_date": "2006-06-15",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "BARRETT",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "EXEC. VP, CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "305-585-7137",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "3998",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "3998",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "3998",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010042111",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PHT JMH Professional Fees",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; 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.

Verify at the official NPI Registry.