Active NPI
Creative Birth LLC
- Obstetrics & Gynecology Physician
- Hallandale, FL
National Provider Identifier
1255666558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- CREATIVE BIRTH LLC
- Practice address
- 3001 W Hallandale Beach Blvd
200
Hallandale, FL 33009-5155 - Phone
- (954) 456-4888
- Fax
- (954) 456-9721
- NPI assigned
- Oct 5, 2009
- Last updated
- Oct 5, 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
- Dr. Wayne P Digiacomo, M.D.
- Title
- Director/Owner
- Phone
- (954) 456-4888
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | FL | Primary |
Addresses
Primary practice location
3001 W Hallandale Beach Blvd
200
Hallandale, FL 33009-5155
Mailing address
3001 W Hallandale Beach Blvd
200
Hallandale, FL 33009-5155
Phone (954) 456-4888
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Obstetrics & Gynecology Physician
- Hallandale Beach, FL
- NPI 1346205812
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254700800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1254700800000",
"number": "1255666558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3001 W HALLANDALE BEACH BLVD",
"address_2": "200",
"city": "HALLANDALE",
"state": "FL",
"postal_code": "330095155",
"telephone_number": "954-456-4888",
"fax_number": "954-456-9721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3001 W HALLANDALE BEACH BLVD",
"address_2": "200",
"city": "HALLANDALE",
"state": "FL",
"postal_code": "330095155",
"telephone_number": "954-456-4888",
"fax_number": "954-456-9721"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CREATIVE BIRTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-10-05",
"last_updated": "2009-10-05",
"status": "A",
"authorized_official_last_name": "DIGIACOMO",
"authorized_official_first_name": "WAYNE",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "DIRECTOR/OWNER",
"authorized_official_telephone_number": "954-456-4888",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hallandale, FL
- Budget Health Corp (Budget Drugs # 4)
- Howard Chusid, EDD
- Coalition for Child Birth Choices, Inc
- Jules J Cohen, DO
- Cora Health Services Inc (CORA Rehabilitation Clinics Hallandale)
- Crystal Clear Pharmacy Inc
- Andrea Eluett, PHARM. D
- John C Fandetti III, RPH
- Maria Cruz Fandetti, RPH
- Yessy Felipe, ARNP-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.