Organization Active NPI

American Medicine, Inc.

  • Allergy & Immunology Physician
  • Plantation, FL
National Provider Identifier
1437349339
Registry record updated Jul 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
ME63504 Issued in FL
Legal business name
AMERICAN MEDICINE, INC.
Practice address
817 S University Dr
Suite 106
Plantation, FL 33324-3309
Phone
(954) 723-0334
Fax
(954) 723-0807
NPI assigned
Jul 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2007

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

Authorized official

Name
Dr. Shahnaz Fatteh, M.D.NPI 1588632533
Title
Vice President
Phone
(954) 723-0334

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207K00000X ME63504 FL Primary
Pediatric Allergy/Immunology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2080P0201X ME63504 FL

Addresses

Primary practice location

817 S University Dr
Suite 106
Plantation, FL 33324-3309

Mailing address

817 S University Dr
Suite 106
Plantation, FL 33324-3309
Phone (954) 723-0334

Other names 1

  • ASTHMA, ALLERGY CARE CENTER OF FLORIDA Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100512000343 FL Part B Supplier - Clinic/Group Practice 4082742036 Receives reassigned benefits from 2 practitioners
Practice locations: Pembroke Pines, FL; Plantation, FL

National Provider Directory

National Provider Directory

Locations

18503 Pines Blvd
Ste 207
Pembroke Pines, FL 33029
Phone (954) 723-0334

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185408000000",
    "number": "1437349339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 S UNIVERSITY DR",
            "address_2": "SUITE 106",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333243309",
            "telephone_number": "954-723-0334",
            "fax_number": "954-723-0807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 S UNIVERSITY DR",
            "address_2": "SUITE 106",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333243309",
            "telephone_number": "954-723-0334",
            "fax_number": "954-723-0807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN MEDICINE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-26",
        "last_updated": "2007-07-26",
        "status": "A",
        "authorized_official_last_name": "FATTEH",
        "authorized_official_first_name": "SHAHNAZ",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "954-723-0334",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Allergy & Immunology",
            "state": "FL",
            "license": "ME63504",
            "primary": true
        },
        {
            "code": "2080P0201X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Allergy/Immunology",
            "state": "FL",
            "license": "ME63504",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ASTHMA, ALLERGY CARE CENTER OF FLORIDA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2007; 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.