Palm Medical Center Hospitalist Group, LLC

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

Legal business name

PALM MEDICAL CENTER HOSPITALIST GROUP, LLC

Practice address

2600 S Douglas Rd Ste 308
Coral Gables, FL 33134-6134

Phone

(305) 913-9441

NPI assigned

Jun 20, 2018

Organization subpart

No

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

Authorized official

Name

Santiago Moises Martin

Title

President of Center Operations

Phone

(305) 913-9441

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Palm Medical Center Little Havana, LLC

  • Clinic/Center
  • Miami, FL
  • NPI 1497271118

  Member Of

  NPD member

Practitioners 7

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

• Khin Latt, MD

  • Internal Medicine Physician
  • Lakeland, FL
  • NPI 1841274115
  Medicare reassignment Care Compare group NPD
• Chandravadan Jashbhai Patel, MD

  • Internal Medicine Physician
  • Tampa, FL
  • NPI 1740280833
  Medicare reassignment Care Compare group NPD
• Yi Chen, M.D.

  • Hospitalist Physician
  • Lakeland, FL
  • NPI 1063736007
  Medicare reassignment NPD
• Sanjiv Kishor Desai, MD

  • Family Medicine Physician
  • Tampa, FL
  • NPI 1861492100
  Medicare reassignment NPD
• Zaw Min, MD

  • Internal Medicine Physician
  • Lakeland, FL
  • NPI 1649255373
  Medicare reassignment NPD
• Eric Bantayan Ranon, MD

  • Internal Medicine Physician
  • Rogers, AR
  • NPI 1861476137

  FL

  Medicare reassignment NPD
• Kristen Leigh Heristchi, MPH, PAC, CAQ-PSYCH

  • Medical Physician Assistant
  • Lakeland, FL
  • NPI 1821072190
  Medicare reassignment

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

{
    "created_epoch": "1529452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679443200000",
    "number": "1174017362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 S DOUGLAS RD STE 308",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331346134",
            "telephone_number": "305-913-9441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 S DOUGLAS RD STE 308",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331346134",
            "telephone_number": "305-913-9441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM MEDICAL CENTER HOSPITALIST GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-20",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A",
        "authorized_official_last_name": "MOISES MARTIN",
        "authorized_official_first_name": "SANTIAGO",
        "authorized_official_title_or_position": "PRESIDENT OF CENTER OPERATIONS",
        "authorized_official_telephone_number": "305-913-9441"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tania Palenzuela
• Anne Palermo, DPT
• Katherine Michele Pallidine
• Palm Access, LLC
• Palm Beach Pediatric Infectious Diseases
• Palm Vascular Center of Coral Gables
• Palm Vascular Center of South Miami, LLC
• Ricardo Ismael Palmerola, M.D.
• Palmetto Pathology Services PA
• Staci Lynn Palmore, PA-C

• Hospitalist Physician in Coral Gables, FL
• Providers in Coral Gables, FL by specialty
• Hospitalist Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; 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.