Active NPI
Childrens Medical Center
- Exclusive Provider Organization
- Hollywood, FL
National Provider Identifier
1710034376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Exclusive Provider Organization
- License
- ME14634
- Legal business name
- CHILDRENS MEDICAL CENTER
- Practice address
- 4651 Sheridan St
Suite 270
Hollywood, FL 33021-3457 - Phone
- (954) 989-6000
- Fax
- (954) 378-4775
- NPI assigned
- Jan 5, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Theodore Morrison, MD
- Title
- President
- Phone
- (954) 989-6000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Exclusive Provider Organization | 302F00000X | ME14634 | FL | Primary |
Addresses
Primary practice location
4651 Sheridan St
Suite 270
Hollywood, FL 33021-3457
Mailing address
4651 Sheridan St
Suite 270
Hollywood, FL 33021-3457
Phone (954) 989-6000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 060425900 | Medicaid | FL |
National Provider Directory
National Provider Directory- Tax ID family
- Children'S Medical Center PA
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Exclusive Provider Organization
- Pembroke Pines, FL
- NPI 1184842395
-
- Exclusive Provider Organization
- Pembroke Pines, FL
- NPI 1790905305
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1223942400000",
"number": "1710034376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4651 SHERIDAN ST",
"address_2": "SUITE 270",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330213457",
"telephone_number": "954-989-6000",
"fax_number": "954-378-4775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4651 SHERIDAN ST",
"address_2": "SUITE 270",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330213457",
"telephone_number": "954-989-6000",
"fax_number": "954-378-4775"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHILDRENS MEDICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-05",
"last_updated": "2008-10-14",
"status": "A",
"authorized_official_last_name": "MORRISON",
"authorized_official_first_name": "THEODORE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "954-989-6000",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "302F00000X",
"taxonomy_group": "",
"desc": "Exclusive Provider Organization",
"state": "FL",
"license": "ME14634",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "060425900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hollywood, FL
- Nancy Chiang, MD
- Child Neurology LLC
- Children'S Diagnostic Testing Group of Broward, Inc.
- Childrens Center for Gastroenterology & Nutrition, PA
- Childrens Hearing Associates Inc
- Mark Derrick Chin-Lenn, M.D.
- Kingsley R Chin, M.D.
- Ramon A Chiong, DO
- Rodolfo E. Chirinos, MD
- Chiro Worx Injury Center of Hollywood LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.