Individual provider Active NPI

Cindy Helene Katanick, D.O.

  • Family Medicine Physician
  • Plantation, FL
National Provider Identifier
1750473054
Registry record updated Apr 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS0005104 Issued in FL
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

Updated by the provider on Apr 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100903000217 FL Practitioner - Family Practice 3274657861 Reassigns benefits to 1 organization

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
Associatesmd Medical Group IncGroup PAC ID 6507294311, 38 clinicians

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

LicenseStateTypeSpecialty
5104FLMDGeneral Practice Dentistry
OS0005104FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Associatesmd Medical Group Inc CurrentSince Feb 1, 2020 Accepting new patients
Associatesmd Medical Group Inc Family Medicine CurrentSince Feb 1, 2020 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.