One Source Pediatrics P.a

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

ME83660 Issued in FL

Legal business name

ONE SOURCE PEDIATRICS P.A

Practice address

1625 N Commerce Pkwy
Suite 205
Weston, FL 33326-3216

Phone

(954) 659-8550

Fax

(954) 659-8770

NPI assigned

Jul 15, 2006

Last updated

Jul 22, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Carlos Orlando Barbosa, M.DNPI 1154414258

Title

Owner

Phone

(954) 659-8550

Specialties & licenses 1

Addresses

Other identifiers 5

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

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.

• Carlos Orlando Barbosa, MD

  • Pediatrics Physician
  • Weston, FL
  • NPI 1154414258
  NPD (past) Authorized official
• Maria Isabel Clemente, MD

  • Pediatrics Physician
  • Weston, FL
  • NPI 1972696177
  NPD
• Angela Cristina Rodriguez, MD

  • Pediatrics Physician
  • Weston, FL
  • NPI 1821164534
  NPD (past)

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374451200000",
    "number": "1346266962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 N COMMERCE PKWY",
            "address_2": "SUITE 205",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333263216",
            "telephone_number": "954-659-8550",
            "fax_number": "954-659-8770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 N COMMERCE PKWY",
            "address_2": "SUITE 205",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333263216",
            "telephone_number": "954-659-8550",
            "fax_number": "954-659-8770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONE SOURCE PEDIATRICS P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2013-07-22",
        "status": "A",
        "authorized_official_last_name": "BARBOSA",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "ORLANDO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-659-8550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ME83660",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "266448800",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "271831600",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "048013401",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "262872400",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "271158300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christina Lynn Oliver, APRN
• Oliverllavona LLC (Dental Specialists of Weston)
• Asher Ollivierre, MOTR/L
• Omnicare Pharmacy of Florida, LLC (Omnicare of South Florida #48232)
• On Call Surgical Assistant LLC
• One Stop Medical LLC
• Marcus Oosenbrug, MD CM
• Open Magnetic Imaging Inc
• Open Mind Services Inc
• Avi Gershon Oppenheimer, M.D.

• Primary Care Clinic/Center in Weston, FL
• Providers in Weston, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.