NPIMap

Organization Active NPI

OBGYN of Miramar, P.a.

  • Obstetrics & Gynecology Physician
  • Pembroke Pines, FL
National Provider Identifier
1265946511
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME115729 Issued in FL
Legal business name
OBGYN OF MIRAMAR, P.A.
Practice address
601 N Flamingo Rd Ste 305
Pembroke Pines, FL 33028-1010
Phone
(866) 236-2906
NPI assigned
Nov 23, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Dimitri P Lopez Linnikov, MDNPI 1548539000
Title
OB/GYN
Phone
(239) 738-1455

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)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X ME115729 FL Primary

Addresses

Primary practice location

601 N Flamingo Rd Ste 305
Pembroke Pines, FL 33028-1010

Mailing address

3541 SW 142ND Ave
Miramar, FL 33027-4705
Phone (239) 738-1455

Other practice location 1

3541 SW 142nd Ave
Miramar, FL 33027-4705
Phone (239) 738-1455

National Provider Directory

National Provider Directory

Locations

601 N Flamingo Rd
Ste 302
Pembroke Pnes, FL 33028
Phone (866) 236-2906

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17782/brand/1/csg/1/fhir/r4

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1511395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1265946511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3541 SW 142ND AVE",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330274705",
            "telephone_number": "239-738-1455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 N FLAMINGO RD STE 305",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330281010",
            "telephone_number": "866-236-2906"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3541 SW 142nd Ave",
            "address_purpose": "LOCATION",
            "city": "Miramar",
            "state": "FL",
            "postal_code": "330274705",
            "country_code": "US",
            "telephone_number": "239-738-1455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OBGYN OF MIRAMAR, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-23",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "LOPEZ LINNIKOV",
        "authorized_official_first_name": "DIMITRI",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OB/GYN",
        "authorized_official_telephone_number": "239-738-1455",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME115729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.