Mudasiru a Carew DO PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MUDASIRU A CAREW DO PA

Practice address

12600 Pembroke Rd
Ste 204
Miramar, FL 33027-2544

Phone

(954) 987-6276

Fax

(954) 430-5800

NPI assigned

Mar 26, 2008

Organization subpart

No

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

Authorized official

Name

Mudasiru Adegbola CarewNPI 1487610044

Title

Owner

Phone

(954) 987-6276

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mudasiru A Carew, D.O.

  • Internal Medicine Physician
  • Miramar, FL
  • NPI 1487610044
  Medicare reassignment Care Compare group Authorized official
• Danica Carew, M.D.

  • Internal Medicine Physician
  • Miramar, FL
  • NPI 1962889824
  Medicare reassignment Care Compare group NPD
• Rodney Myers

  • Nurse Practitioner
  • Miramar, FL
  • NPI 1831723790
  Medicare reassignment NPD

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

{
    "created_epoch": "1206489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420588800000",
    "number": "1790957173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12600 PEMBROKE ROAD",
            "address_2": "STE 204",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "33027",
            "telephone_number": "954-987-6276",
            "fax_number": "954-430-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12600 PEMBROKE RD",
            "address_2": "STE 204",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330272544",
            "telephone_number": "954-987-6276",
            "fax_number": "954-430-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUDASIRU A CAREW DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-26",
        "last_updated": "2015-01-07",
        "status": "A",
        "authorized_official_last_name": "CAREW",
        "authorized_official_first_name": "MUDASIRU",
        "authorized_official_middle_name": "ADEGBOLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-987-6276"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIELD",
            "identifier": "006WC",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kesia Moxie
• Maria Moya, LCSW
• Philip Kevin Moye, M.D.
• MPS RX Florida LLC (Millennium Pharmacy - Miramar)
• Semko Mudaresi, RNFA
• Sayed Shoaib Muhammad, M.S.P.T.
• Anil K Mungara, MD
• Greilys Munoz Diaz
• Alyssa Luisa Munoz, APRN
• Cristhian Jose Munoz

• Internal Medicine Physician in Miramar, FL
• Providers in Miramar, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.