Active NPI
Variety Children'S Hospital
- Pediatric Hematology & Oncology Physician
- Coral Springs, FL
National Provider Identifier
1255575635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Hematology & Oncology Physician
- Legal business name
- VARIETY CHILDREN'S HOSPITAL
- Practice address
- 5810 Coral Ridge Dr
Suite 110
Coral Springs, FL 33076-3374 - Phone
- (305) 662-8334
- NPI assigned
- Apr 29, 2009
- 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
- Timothy Birkenstock
- Title
- Senior VP & Cfo
- Phone
- (305) 669-6422
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Otolaryngology Physician | 207YP0228X | |||
| Pediatric Endocrinology Physician | 2080P0205X | |||
| Pediatric Gastroenterology Physician | 2080P0206X | |||
| Pediatric Hematology & Oncology Physician | 2080P0207X | Primary |
Addresses
Primary practice location
5810 Coral Ridge Dr
Suite 110
Coral Springs, FL 33076-3374
Mailing address
PO Box 863941
Orlando, FL 32886-3941
Phone (305) 662-8334
Other names 1
- MCH Specialists
National Provider Directory
National Provider DirectoryLocations
5810 Coral Ridge Dr
Ste 110
Coral Springs, FL 33076
Phone (954) 933-0613
13400 SW 120th St
Ste 100
Miami, FL 33186
Phone (786) 624-5363
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240963200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1414540800000",
"number": "1255575635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 863941",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328863941",
"telephone_number": "305-662-8334",
"fax_number": "786-624-2688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5810 CORAL RIDGE DR",
"address_2": "SUITE 110",
"city": "CORAL SPRINGS",
"state": "FL",
"postal_code": "330763374",
"telephone_number": "305-662-8334"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VARIETY CHILDREN'S HOSPITAL",
"organizational_subpart": "NO",
"enumeration_date": "2009-04-29",
"last_updated": "2014-10-29",
"status": "A",
"authorized_official_last_name": "BIRKENSTOCK",
"authorized_official_first_name": "TIMOTHY",
"authorized_official_title_or_position": "SENIOR VP & CFO",
"authorized_official_telephone_number": "305-669-6422"
},
"taxonomies": [
{
"code": "207YP0228X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Otolaryngology, Pediatric Otolaryngology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2080P0205X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics, Pediatric Endocrinology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2080P0206X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics, Pediatric Gastroenterology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2080P0207X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics, Pediatric Hematology-Oncology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "MCH Specialists",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Coral Springs, 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.