All Star Pediatric Care ,PA

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME102179 Issued in FL

Legal business name

ALL STAR PEDIATRIC CARE ,PA

Practice address

1951 SW 172ND Ave
Memorial Hospital Miramar Medical Office Building # 417
Miramar, FL 33029-5593

Phone

(954) 255-7827

NPI assigned

Jan 29, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Sam A Skaff, MDNPI 1093866873

Title

Director

Phone

(954) 255-7827

Specialties & licenses 1

Addresses

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/9179/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sam A Skaff, M.D.

  • Pediatrics Physician
  • Miramar, FL
  • NPI 1093866873
  NPD (past) Authorized official

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

{
    "created_epoch": "1390953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390953600000",
    "number": "1376966200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 823610",
            "address_2": "ALL STAR PEDIATRIC CARE ,PA",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330823610",
            "telephone_number": "954-255-7827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1951 SW 172ND AVE",
            "address_2": "MEMORIAL HOSPITAL MIRAMAR MEDICAL OFFICE BUILDING # 417",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330295593",
            "telephone_number": "954-255-7827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALL STAR PEDIATRIC CARE ,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-29",
        "last_updated": "2014-01-29",
        "status": "A",
        "authorized_official_last_name": "SKAFF",
        "authorized_official_first_name": "SAM",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "954-255-7827",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME102179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All Women Care LLC
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• Pediatrics Physician in Miramar, FL
• Providers in Miramar, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2014; 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.