Active NPI
Cindy Helene Katanick, D.O.
- Family Medicine Physician
- Plantation, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS0005104
- Practice address
- 350 NW 84TH Ave
Suite 200
Plantation, FL 33324-1817 - Phone
- (954) 424-4321
- Fax
- (954) 424-0765
- NPI assigned
- Sep 28, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS0005104 | FL | Primary |
Addresses
Primary practice location
350 NW 84TH Ave
Suite 200
Plantation, FL 33324-1817
Mailing address
350 NW 84TH Ave
Suite 200
Plantation, FL 33324-1817
Phone (954) 424-4321
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Des Moines University of Osteopathic Medicine and Health Sciences, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
350 N W 84TH Ave
Suite 109
Plantation, FL 33324
Phone (954) 424-9444
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5104 | FL | MD | General Practice Dentistry |
| OS0005104 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associatesmd Medical Group Inc | Current | Accepting new patients | |
| Associatesmd Medical Group Inc | Family Medicine | Current | Accepting new patients |
Locations
4801 S University Dr
Ste 104
Davie, FL 33328
4780 SW 64th Ave
Davie, FL 33314
4780 SW 64th Ave
Ste 103
Davie, FL 33314
4780 SW 64th Ave
Ste 101
Davie, FL 33314
350 NW 84th Ave
Ste 200
Plantation, FL 33324
Phone (954) 424-4321
350 NW 84th Ave
Ste 109
Plantation, FL 33324
Phone (954) 424-9444
350 N Pine Island Rd
Ste 200
Plantation, FL 33324
Phone (954) 424-4321
Interoperability endpoints
- cindy.katanick@amd.eclinicaldirectplus.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Davie, FL
- NPI 1558900472
-
- Urgent Care Clinic/Center
- Pembroke Pines, FL
- NPI 1073141156
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207526400000",
"number": "1750473054",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 NW 84TH AVE",
"address_2": "SUITE 200",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333241817",
"telephone_number": "954-424-4321",
"fax_number": "954-424-0765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 NW 84TH AVE",
"address_2": "SUITE 200",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333241817",
"telephone_number": "954-424-4321",
"fax_number": "954-424-0765"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KATANICK",
"first_name": "CINDY",
"middle_name": "HELENE",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-28",
"last_updated": "2008-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "OS0005104",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plantation, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.