Childrens Center for Gastroenterology & Nutrition, PA

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

CHILDRENS CENTER FOR GASTROENTEROLOGY & NUTRITION, PA

Practice address

1150 N 35TH Ave
Suite 545
Hollywood, FL 33021-5424

Phone

(954) 967-9400

Fax

(954) 967-9551

NPI assigned

Jun 28, 2010

Organization subpart

No

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

Authorized official

Name

Mario Enrique Tano, MD

Title

President

Phone

(954) 967-9400

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1277683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294012800000",
    "number": "1356652135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 N 35TH AVE",
            "address_2": "SUITE 545",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330215424",
            "telephone_number": "954-967-9400",
            "fax_number": "954-967-9551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 N 35TH AVE",
            "address_2": "SUITE 545",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330215424",
            "telephone_number": "954-967-9400",
            "fax_number": "954-967-9551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDRENS CENTER FOR GASTROENTEROLOGY & NUTRITION, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-28",
        "last_updated": "2011-01-03",
        "status": "A",
        "authorized_official_last_name": "TANO",
        "authorized_official_first_name": "MARIO",
        "authorized_official_middle_name": "ENRIQUE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-967-9400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isidora Paz Chevesich
• Kunnee Chew, LMT
• Nancy Chiang, MD
• Child Neurology LLC
• Children's Diagnostic Testing Group of Broward, Inc.
• Childrens Hearing Associates Inc
• Childrens Medical Center
• Mark Derrick Chin-Lenn, M.D.
• Kingsley R Chin, M.D.
• Ramon A Chiong, DO

• Specialist in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2011; 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.