Organization Active NPI

Mike Choi DO PA

  • Specialist
  • Hialeah, FL
National Provider Identifier
1447478664
Registry record updated Apr 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
OS8975 Issued in FL
Legal business name
MIKE CHOI DO PA
Practice address
7150 W 20TH Ave
Suite 215
Hialeah, FL 33016-5529
Phone
(305) 821-3795
NPI assigned
Apr 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2008

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

Authorized official

Name
Mike Choi, D.O.
Title
President
Phone
(305) 821-3795

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X OS8975 FL Primary

Addresses

Primary practice location

7150 W 20TH Ave
Suite 215
Hialeah, FL 33016-5529

Mailing address

7150 W 20TH Ave
Suite 215
Hialeah, FL 33016-5529
Phone (305) 821-3795

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070702000331 FL Part B Supplier - Clinic/Group Practice 7810096906 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Lauderdale, FL

National Provider Directory

National Provider Directory

Locations

4390 N Federal Hwy
Ste 206
Fort Lauderdale, FL 33308
Phone (305) 821-3795

2919 E Commercial Blvd
Ft Lauderdale, FL 33308
Phone (305) 821-3795

7150 W 20th Ave
Ste 215
Hialeah, FL 33016
Phone (305) 558-4428

Practitioners & affiliated clinicians

Practitioners 1

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": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208304000000",
    "number": "1447478664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7150 W 20TH AVE",
            "address_2": "SUITE 215",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330165529",
            "telephone_number": "305-821-3795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7150 W 20TH AVE",
            "address_2": "SUITE 215",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330165529",
            "telephone_number": "305-821-3795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIKE CHOI DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2008-04-16",
        "status": "A",
        "authorized_official_last_name": "CHOI",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-821-3795",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "OS8975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2008; 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.