Active NPI
Julie H Kang, DO
- Obstetrics & Gynecology Physician
- Hollywood, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 0S5582
- Practice address
- 1150 N 35TH Ave Ste 245
Hollywood, FL 33021-5424 - Phone
- (954) 265-2740
- Fax
- (954) 275-2745
- NPI assigned
- Oct 15, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 0S5582 | FL | Primary |
Addresses
Primary practice location
1150 N 35TH Ave Ste 245
Hollywood, FL 33021-5424
Mailing address
2900 Corporate Way
Door D
Miramar, FL 33025-3925
Phone (954) 276-5685
Other practice location 1
4105 Pembroke Rd
Hollywood, FL 33021-8103
Phone (954) 265-8150
Other practice location 2
3501 Johnson St Fl 2
Hollywood, FL 33021-5421
Phone (954) 265-3441
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 020977800 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- South Broward Hospital District
Practice addresses (Care Compare)
1150 N 35 Ave
Hollywood, FL 33021-5424
1150 N 35TH Ave
Hollywood, FL 33021-5431
3501 Johnson St
Hollywood, FL 33021-5421
Phone (954) 265-9976
4105 Pembroke Rd
Hollywood, FL 33021-8103
Phone (954) 265-8100
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0S5582 | FL | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Broward Hospital District | Current | Accepting new patients | |
| South Broward Hospital District | Current | Accepting new patients | |
| South Broward Hospital District | Current | Accepting new patients | |
| South Broward Hospital District | Obstetrics & Gynecology | Current | Accepting new patients |
| North Brevard Medical Support, Inc | Past | Accepting new patients | |
| University of Miami | Obstetrics & Gynecology | Past | Accepting new patients |
| South Broward Hospital District | Past | Accepting new patients |
Locations
3501 Johnson St
Fl 2
Hollywood, FL 33021
Phone (954) 265-3441
1150 N 35th Ave
Ste 245
Hollywood, FL 33021
Phone (954) 265-2740
4105 Pembroke Rd
Hollywood, FL 33021
Phone (954) 985-1551
2900 Corporate Way
#D
Miramar, FL 33025
Phone (954) 276-5581
3501 Johnson St
Pembroke Park, FL 33021
Phone (954) 265-2000
Networks
- Freedom Health HMO Network
Interoperability endpoints
- jkang6507@mhsdirect.net
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Hollywood, FL
- NPI 1003409301
-
- Critical Care Medicine (Internal Medicine) Physician
- Hollywood, FL
- NPI 1609884154
-
- Home Infusion Therapy Pharmacy
- Miramar, FL
- NPI 1043656614
-
- General Acute Care Hospital
- Hollywood, FL
- NPI 1780667923
-
- Multi-Specialty Clinic/Center
- Titusville, FL
- NPI 1609834886
-
- Pediatric Orthopaedic Surgery Physician
- Hollywood, FL
- NPI 1407865520
-
- Obstetrics & Gynecology Physician
- Miami, FL
- NPI 1730139361
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hollywood, FL
- NPI 1780667923
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626652800000",
"number": "1356330088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2900 CORPORATE WAY",
"address_2": "DOOR D",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "330253925",
"telephone_number": "954-276-5685",
"fax_number": "954-985-7074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1150 N 35TH AVE STE 245",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330215424",
"telephone_number": "954-265-2740",
"fax_number": "954-275-2745"
}
],
"practiceLocations": [
{
"address_1": "4105 Pembroke Rd",
"address_purpose": "LOCATION",
"city": "Hollywood",
"state": "FL",
"postal_code": "330218103",
"country_code": "US",
"telephone_number": "954-265-8150",
"fax_number": "954-985-2294",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3501 Johnson St Fl 2",
"address_purpose": "LOCATION",
"city": "Hollywood",
"state": "FL",
"postal_code": "330215421",
"country_code": "US",
"telephone_number": "954-265-3441",
"fax_number": "954-368-0195",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KANG",
"first_name": "JULIE",
"middle_name": "H",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-15",
"last_updated": "2021-07-19",
"certification_date": "2021-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "FL",
"license": "0S5582",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "020977800",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hollywood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.