Southside OB-GYN PLLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

ME108552 Issued in FL

Legal business name

SOUTHSIDE OB-GYN PLLC

Practice address

6464 N Miami Ave
Miami, FL 33150-4520

Phone

(786) 657-2269

Fax

(786) 955-6972

NPI assigned

Mar 2, 2012

Last updated

Nov 24, 2025By 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

Edy Amisial, MDNPI 1881924157

Title

MD

Phone

(786) 657-2269

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Southside OB-GYN, PLLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/12360/brand/1/csg/1/fhir/r4

Practitioners 2

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.

• Edy Amisial, M.D

  • Obstetrics & Gynecology Physician
  • Miami, FL
  • NPI 1881924157
  Medicare reassignment Authorized official
• Patrick Pinchinat, MD

  • Psychiatry Physician
  • Pembroke Pines, FL
  • NPI 1295946002
  NPD (past)

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

{
    "created_epoch": "1330646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763942400000",
    "number": "1427322882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6464 N MIAMI AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331504520",
            "telephone_number": "786-657-2269",
            "fax_number": "786-955-6972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6464 N MIAMI AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331504520",
            "telephone_number": "786-657-2269",
            "fax_number": "786-955-6972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHSIDE OB-GYN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-02",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A",
        "authorized_official_last_name": "AMISIAL",
        "authorized_official_first_name": "EDY",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "786-657-2269",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME108552",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004060500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southside OB-GYN, PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Southland Clinic
• Southwest Drug's, Inc.
• Southwest Miami Rehabilitative Center, Inc.
• Southwest Team Corp
• Southwind Adult Care
• Southy Quality Services Corp

• Obstetrics & Gynecology Physician in Miami, FL
• Providers in Miami, FL by specialty
• Obstetrics & Gynecology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.