Active NPI
Chickadee Inpatient Services LLC
- Emergency Medicine Physician
- Plantation, FL
National Provider Identifier
1245656644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- CHICKADEE INPATIENT SERVICES LLC
- Practice address
- 401 NW 42ND Ave
Plantation, FL 33317-2835 - Phone
- (654) 587-5010
- NPI assigned
- Mar 10, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kathleen Kondas
- Title
- Officer
- Phone
- (973) 251-1132
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | Primary |
Addresses
Primary practice location
401 NW 42ND Ave
Plantation, FL 33317-2835
Mailing address
13737 Noel Rd
Suite 1600
Dallas, TX 75240-1331
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1394409600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1608595200000",
"number": "1245656644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13737 NOEL RD",
"address_2": "SUITE 1600",
"city": "DALLAS",
"state": "TX",
"postal_code": "752401331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 NW 42ND AVE",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333172835",
"telephone_number": "654-587-5010"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHICKADEE INPATIENT SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-03-10",
"last_updated": "2020-12-22",
"certification_date": "2020-12-22",
"status": "A",
"authorized_official_last_name": "KONDAS",
"authorized_official_first_name": "KATHLEEN",
"authorized_official_title_or_position": "OFFICER",
"authorized_official_telephone_number": "973-251-1132"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Dec 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.