Active NPI
Charles Teebagy, MD
- Pediatrics Physician
- Pompano Beach, FL
National Provider Identifier
1629067178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME13828
- Practice address
- 1800 N Federal Hwy
#110
Pompano Beach, FL 33062-1095 - Phone
- (954) 941-5731
- Fax
- (954) 941-2706
- NPI assigned
- Oct 18, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME13828 | FL | Primary |
Addresses
Primary practice location
1800 N Federal Hwy
#110
Pompano Beach, FL 33062-1095
Mailing address
7800 SW 87TH Ave
Suite C-350
Miami, FL 33173-2539
Phone (954) 731-9676
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 049580800 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME13828 | FL | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437004800000",
"number": "1629067178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7800 SW 87TH AVE",
"address_2": "SUITE C-350",
"city": "MIAMI",
"state": "FL",
"postal_code": "331732539",
"telephone_number": "954-731-9676",
"fax_number": "954-731-9747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 N FEDERAL HWY",
"address_2": "#110",
"city": "POMPANO BEACH",
"state": "FL",
"postal_code": "330621095",
"telephone_number": "954-941-5731",
"fax_number": "954-941-2706"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEEBAGY",
"first_name": "CHARLES",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-18",
"last_updated": "2015-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME13828",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "049580800",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pompano Beach, FL
- Skyelar Taylor
- Tyrone Deamos Taylor, BA
- Zach James Taylor, B.A.
- Tcet Holding Companies Inc Dba Interim Healthcare of Coral Springs
- Tcet Holding Companies Inc Dba Interim Healthcare of Pompano Beach
- Paige Telan
- Tender Loving Care Health Care Solutions Inc
- Marc Edward Tennenbaum, D.O.
- Laurentiu Teodoru, D.M.D.
- Vincent John Terlecki
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.