Venetian Isle Medical OB GYN Consultant Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME34571 Issued in FL

Legal business name

VENETIAN ISLE MEDICAL OB GYN CONSULTANT INC

Practice address

3001 W Hallandale Beach Blvd
Suite 200
Hallandale, FL 33009-5155

Phone

(954) 456-4888

Fax

(954) 456-9721

NPI assigned

Mar 2, 2007

Last updated

Jun 2, 2008By 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

Dr. Wayne P. Digiacomo, M.D.NPI 1346205812

Title

President

Phone

(954) 456-4888

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 7

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.

• Edy Amisial, M.D

  • Obstetrics & Gynecology Physician
  • Miami, FL
  • NPI 1881924157
  Medicare reassignment NPD
• Murielle Leon, APRN

  • Nurse Practitioner
  • Miami, FL
  • NPI 1083176366
  Medicare reassignment NPD
• Ricardo Emilio Presas, MD

  • General Practice Physician
  • Miami, FL
  • NPI 1770505224
  Medicare reassignment NPD
• Cheryl Ann Carter, M.D.

  • Obstetrics & Gynecology Physician
  • Jersey City, NJ
  • NPI 1639188014

  FL

  Medicare reassignment NPD
• Jacqueline Rendon, PA

  • Physician Assistant
  • Cutler Bay, FL
  • NPI 1881280964
  Medicare reassignment
• Eimy March Connor, PA-C

  • Physician Assistant
  • Santa Monica, CA
  • NPI 1891346011

  FL

  Medicare reassignment
• Wayne Peter Digiacomo, MD

  • Obstetrics & Gynecology Physician
  • Hallandale Beach, FL
  • NPI 1346205812
  NPD (past) Authorized official

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212364800000",
    "number": "1669500328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 WEST HALLANDALE BEACH BLVD",
            "address_2": "SUITE 200",
            "city": "HALLANDALE",
            "state": "FL",
            "postal_code": "330095158",
            "telephone_number": "954-456-4888",
            "fax_number": "954-456-9721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 W HALLANDALE BEACH BLVD",
            "address_2": "SUITE 200",
            "city": "HALLANDALE",
            "state": "FL",
            "postal_code": "330095155",
            "telephone_number": "954-456-4888",
            "fax_number": "954-456-9721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VENETIAN ISLE MEDICAL OB GYN CONSULTANT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2008-06-02",
        "status": "A",
        "authorized_official_last_name": "DIGIACOMO",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-456-4888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME34571",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "376942900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael A Thomas, DO
• Total Home Health Care Inc
• Total Home Health, Inc
• Total Private Home Health Inc.
• Denise A Vazquez, PSY.D.
• Venetian Isle Medical OB/GYN Consultants ,Inc
• James Vincent Virgilio, DC
• Your RX Pharmacy LLC

• Specialist in Hallandale, FL
• Providers in Hallandale, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2008; 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.