Kenneth J Mishkin, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

ME26743 Issued in FL

Practice address

1500 E Hillsboro Blvd
Suite 110
Deerfield Beach, FL 33441-4355

Phone

(954) 426-3006

Fax

(954) 481-9318

NPI assigned

Feb 23, 2007

Sex

Male

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Palm Beach Broward Medical Imaging Center, Inc.

  • Radiology Clinic/Center
  • Deerfield Beach, FL
  • NPI 1952404519
  NPD (past)

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1588799043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 E HILLSBORO BLVD",
            "address_2": "SUITE 110",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334414355",
            "telephone_number": "954-426-3006",
            "fax_number": "954-481-9318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E HILLSBORO BLVD",
            "address_2": "SUITE 110",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334414355",
            "telephone_number": "954-426-3006",
            "fax_number": "954-481-9318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISHKIN",
        "first_name": "KENNETH",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME26743",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "065032300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karoline Miranda Mion, APRN, PMHNP-BC , FNP
• Nadia Mir
• Alexsys Michelle Miranda
• Elisa Marie Mireles
• Shazeen Sajid Mirza
• Mitchell Bernknopf DPM PA
• Jasmine Mitchell
• Karisma Danielle Mitchell
• Lauren Mitchell
• Mark Anthony Mitchell, D.O., FACOEP-D FACEP

• Diagnostic Radiology Physician in Deerfield Beach, FL
• Providers in Deerfield Beach, FL by specialty
• Diagnostic Radiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.