Organization Active NPI

Kelly Wolf & Herman MD PA

  • Ambulatory Surgical Clinic/Center
  • Miami, FL
National Provider Identifier
1659619807
Registry record updated Jan 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
KELLY WOLF & HERMAN MD PA
Practice address
8940 N Kendall Dr Ste 902E
Miami, FL 33176-2176
Phone
(305) 595-2969
NPI assigned
Jan 23, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2013

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

Authorized official

Name
Michael E Kelly
Title
Owner
Phone
(305) 595-2969

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

8940 N Kendall Dr Ste 902E
Miami, FL 33176-2176

Mailing address

8940 N Kendall Dr Ste 902E
Miami, FL 33176-2176

Other names 1

  • Miami Plastic Surgery Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Kelly Wolf Herman M D P a2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8940 N Kendall Dr
Ste 902E
Miami, FL 33176
Phone (305) 595-2969

NPI Registry JSON

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

{
    "created_epoch": "1358899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358899200000",
    "number": "1659619807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8940 N KENDALL DR STE 902E",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331762176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8940 N KENDALL DR STE 902E",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331762176",
            "telephone_number": "305-595-2969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY WOLF & HERMAN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-23",
        "last_updated": "2013-01-23",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-595-2969"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Miami Plastic Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2013; 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.