NPIMap

Organization Active NPI

Variety Children's Hospital

Doing business as Nicklaus Children's Hospital

  • Pediatric Orthopaedic Surgery Physician
  • Miami, FL
National Provider Identifier
1447382676
Registry record updated Sep 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Orthopaedic Surgery PhysicianTaxonomy code 207XP3100X
License
574498-3 Issued in FL
Legal business name
VARIETY CHILDREN'S HOSPITAL
Doing business as
Nicklaus Children's Hospital
Practice address
3100 SW 62ND Ave
Department of Orthopedics
Miami, FL 33155-3009
Phone
(305) 662-8366
Fax
(305) 663-9194
NPI assigned
Mar 12, 2007
Last updated
Sep 11, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
NICKLAUS CHILDREN'S HOSPITAL- ORTHOPEDICAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 11, 2018

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

Authorized official

Name
Elizabeth Menocal
Title
Authorized Official
Phone
(305) 662-8357

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Orthopaedic Surgery Physician 207XP3100X 574498-3 FL Primary

Addresses

Primary practice location

3100 SW 62ND Ave
Department of Orthopedics
Miami, FL 33155-3009

Mailing address

PO Box 865095
Orlando, FL 32886-5095
Phone (786) 624-5876

Other identifiers 1

IdentifierTypeStateIssuer
255772000MedicaidFL

Other names 1

  • Nicklaus Children's Hospital Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Pediatric Specialty Group Inc76 organizations share this tax ID, including this one
Part of
Pediatric Specialty Group Inc

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536624000000",
    "number": "1447382676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 865095",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328865095",
            "telephone_number": "786-624-5876",
            "fax_number": "786-624-2688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 SW 62ND AVE",
            "address_2": "DEPARTMENT OF ORTHOPEDICS",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331553009",
            "telephone_number": "305-662-8366",
            "fax_number": "305-663-9194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VARIETY CHILDREN'S HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NICKLAUS CHILDREN'S HOSPITAL- ORTHOPEDIC",
        "enumeration_date": "2007-03-12",
        "last_updated": "2018-09-11",
        "status": "A",
        "authorized_official_last_name": "MENOCAL",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "305-662-8357"
    },
    "taxonomies": [
        {
            "code": "207XP3100X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": "FL",
            "license": "574498-3",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "255772000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nicklaus Children's Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Nicklaus Children's Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2018; 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.