Active NPI
Variety Children's Hospital
Doing business as MCH Specialist
- Orthopaedic Surgery Physician
- Weston, FL
National Provider Identifier
1629102686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- VARIETY CHILDREN'S HOSPITAL
- Doing business as
- MCH Specialist
- Practice address
- 2900 S Commerce Pkwy
Orthopedic Surgery
Weston, FL 33331-3622 - Phone
- (954) 385-6200
- NPI assigned
- Mar 14, 2007
- Organization subpart
- Yes
- Parent organization
- MIAMI CHILDREN'S HOSPITAL
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Timothy Birkenstock
- Title
- Cfo & Senior VP
- Phone
- (305) 669-6422
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | Primary |
Addresses
Primary practice location
2900 S Commerce Pkwy
Orthopedic Surgery
Weston, FL 33331-3622
Mailing address
PO Box 863941
Orlando, FL 32886-3941
Phone (305) 662-8334
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 255772000 | Medicaid | FL |
Other names 1
- MCH Specialist
National Provider Directory
National Provider Directory- Part of
- Variety Childrens Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1414540800000",
"number": "1629102686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 863941",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328863941",
"telephone_number": "305-662-8334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 S COMMERCE PKWY",
"address_2": "ORTHOPEDIC SURGERY",
"city": "WESTON",
"state": "FL",
"postal_code": "333313622",
"telephone_number": "954-385-6200"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VARIETY CHILDREN'S HOSPITAL",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MIAMI CHILDREN'S HOSPITAL",
"enumeration_date": "2007-03-14",
"last_updated": "2014-10-29",
"status": "A",
"authorized_official_last_name": "BIRKENSTOCK",
"authorized_official_first_name": "TIMOTHY",
"authorized_official_title_or_position": "CFO & SENIOR VP",
"authorized_official_telephone_number": "305-669-6422",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "255772000",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "MCH Specialist",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Weston, FL
- Mayte Vargas, PT
- Sabrina Del Valle Vargas
- Christopher Varghese, PSYD
- Variety Children's Hospital (Nicklaus Children's Dan Marino Outpatient Center)
- Variety Children's Hospital (MCH Endocrinology)
- Variety Children's Hospital (Miami Children's Hospital)
- Variety Children's Hospital (MCH Pediatric Care Center)
- Variety Children's Hospital (MCH Specialist)
- Bhawna Varma, MD
- Ashley Nicole Vasquez, OTR/L
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.