Galia Kamishev, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME53919 Issued in FL

Practice address

1301 Lyons Rd
Coconut Creek, FL 33063-3900

Phone

(954) 971-2266

NPI assigned

May 26, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: galia.kamishev@conviva.eclinicaldirectplus.com

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.

• Pricare of Broward, Inc.

  • Internal Medicine Physician
  • Lauderdale Lakes, FL
  • NPI 1659318277
  NPD (past)

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663891200000",
    "number": "1447206925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 BLUE LAGOON DR STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263168",
            "telephone_number": "305-500-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 LYONS RD",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330633900",
            "telephone_number": "954-971-2266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMISHEV",
        "first_name": "GALIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-26",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME53919",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME53919",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "galia.kamishev@conviva.eclinicaldirectplus.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1301 Lyons Rd",
            "city": "Coconut Creek",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330633900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Myvanne Lumapas Jurgrau, PT
• Just for Kidz Therapy, LLC
• K C Wellness Lounge LLC
• Sravanthi Kadiyala
• Alma Kadribasic
• Cliff S Kanarick
• Daniel Kantor, M.D.
• Kavitha Kanuri, MD
• Edward J. Kaplan, M.D.
• Eva Helena Kappelmann

• Internal Medicine Physician in Coconut Creek, FL
• Providers in Coconut Creek, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2022; 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.