Active NPI
Isaac Talmaciu, M.D.
- Pediatric Pulmonology Physician
- Pembroke Pines, FL
National Provider Identifier
1700868262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Pulmonology Physician
- License
- ME75722
- Practice address
- 1 SW 129TH Ave
Suite 308
Pembroke Pines, FL 33027-1761 - Phone
- (954) 384-0087
- Fax
- (954) 668-2205
- NPI assigned
- Nov 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 |
|---|---|---|---|---|
| Pediatric Pulmonology Physician | 2080P0214X | ME75722 | FL | Primary |
Addresses
Primary practice location
1 SW 129TH Ave
Suite 308
Pembroke Pines, FL 33027-1761
Mailing address
1 SW 129TH Ave
Suite 308
Pembroke Pines, FL 33027-1761
Phone (954) 384-0087
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 254480600 | 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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME75722 | FL | MD | Pediatric Pulmonology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Pulmonary and Allergy Assoc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Specialist
- Pembroke Pines, FL
- NPI 1205043494
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216944000000",
"number": "1700868262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 SW 129TH AVE",
"address_2": "SUITE 308",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330271761",
"telephone_number": "954-384-0087",
"fax_number": "954-668-2205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 SW 129TH AVE",
"address_2": "SUITE 308",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330271761",
"telephone_number": "954-384-0087",
"fax_number": "954-668-2205"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TALMACIU",
"first_name": "ISAAC",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-18",
"last_updated": "2008-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0214X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Pulmonology",
"state": "FL",
"license": "ME75722",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "254480600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pembroke Pines, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.