Organization Active NPI

PH1 Miami

  • Plastic Surgery Physician
  • Miami, FL
National Provider Identifier
1275166720
Registry record updated Feb 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
Legal business name
PH1 MIAMI
Practice address
8585 SW 72ND St Ste 107
Miami, FL 33143-3746
Phone
(786) 373-7256
NPI assigned
Feb 12, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2020

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

Authorized official

Name
Hootan Rashidifard
Title
Ceo
Phone
(617) 645-1209

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X Primary

Addresses

Primary practice location

8585 SW 72ND St Ste 107
Miami, FL 33143-3746

Mailing address

8585 SW 72ND St Ste 107
Miami, FL 33143-3746

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1581465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581465600000",
    "number": "1275166720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8585 SW 72ND ST STE 107",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331433746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8585 SW 72ND ST STE 107",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331433746",
            "telephone_number": "786-373-7256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PH1 MIAMI",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-12",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A",
        "authorized_official_last_name": "RASHIDIFARD",
        "authorized_official_first_name": "HOOTAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "617-645-1209"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.

Verify at the official NPI Registry.