Michael Kanner MD PA

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

0042160 Issued in FL

Legal business name

MICHAEL KANNER MD PA

Practice address

4651 Sheridan St Ste 100
Hollywood, FL 33021-3459

Phone

(954) 894-1500

Fax

(954) 894-1526

NPI assigned

Nov 16, 2011

Last updated

Sep 2, 2020By 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

Michael Kanner, MD PANPI 1134184740

Title

Physician

Phone

(305) 937-2020

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

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.

• Michael Kanner, M.D.

  • Ophthalmology Physician
  • Hollywood, FL
  • NPI 1134184740
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1321401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599004800000",
    "number": "1528345741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4651 SHERIDAN ST STE 100",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330213459",
            "telephone_number": "954-894-1500",
            "fax_number": "954-894-1526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4651 SHERIDAN ST STE 100",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330213459",
            "telephone_number": "954-894-1500",
            "fax_number": "954-894-1526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL KANNER MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-16",
        "last_updated": "2020-09-02",
        "certification_date": "2020-09-02",
        "status": "A",
        "authorized_official_last_name": "KANNER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "305-937-2020",
        "authorized_official_credential": "MD PA"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "0042160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miami Beach Medical Consultants, LLC. (Clinical Care Medical Centers)
• Miami Vamc
• Miami Vamc
• Micasa Alf LLC (Micasa Senior Living)
• Michael J. McKenzie, MD, PA
• Michael Medical Associates LLC
• Michael W Formisano MD PA
• Lesli Michaud, COTA
• Marie Juline Michel, MD
• Lisa Micheletti, LMHC

• Ophthalmology Physician in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Ophthalmology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2020; 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.