Organization Active NPI

Variety Children's Hospital

Doing business as MCH Specialists

  • Vascular Surgery Physician
  • Orlando, FL
National Provider Identifier
1215061999
Registry record updated Oct 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
Legal business name
VARIETY CHILDREN'S HOSPITAL
Doing business as
MCH Specialists
Practice address
50 W. Stutervant Street
Orlando, FL 32806
Phone
(407) 649-6907
Fax
(407) 481-2035
NPI assigned
Mar 15, 2007
Last updated
Oct 29, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
MIAMI CHILDREN'S HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 29, 2014

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

Authorized official

Name
Mr. Timothy Birkenstock
Title
Cfo & Senior VP
Phone
(305) 669-6422

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0129X Primary

Addresses

Primary practice location

50 W. Stutervant Street
Orlando, FL 32806

Mailing address

PO Box 863286
Orlando, FL 32886-3286
Phone (305) 662-8334

Other identifiers 1

IdentifierTypeStateIssuer
255772008MedicaidFL

Other names 1

  • MCH Specialists Doing business as

National Provider Directory

National Provider Directory
Part of
Variety Children's Hospital

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414540800000",
    "number": "1215061999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 863286",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328863286",
            "telephone_number": "305-662-8334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 W. STUTERVANT STREET",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32806",
            "telephone_number": "407-649-6907",
            "fax_number": "407-481-2035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VARIETY CHILDREN'S HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MIAMI CHILDREN'S HOSPITAL",
        "enumeration_date": "2007-03-15",
        "last_updated": "2014-10-29",
        "status": "A",
        "authorized_official_last_name": "BIRKENSTOCK",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "CFO & SENIOR VP",
        "authorized_official_telephone_number": "305-669-6422",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "255772008",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MCH Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2014; 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.