NPIMap

Organization Active NPI

Pavilion for Women's Care LLC

  • Obstetrics & Gynecology Physician
  • Miami, FL
National Provider Identifier
1811954340
Registry record updated Jun 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
PAVILION FOR WOMEN'S CARE LLC
Practice address
8501 SW 124TH Ave
Suite 211
Miami, FL 33183-4627
Phone
(305) 595-6488
Fax
(305) 595-3532
NPI assigned
Apr 27, 2006
Last updated
Jun 27, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2008

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

Authorized official

Name
Mr. John M. Kirby, CPA
Title
VP of Finance
Phone
(305) 264-5252

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

8501 SW 124TH Ave
Suite 211
Miami, FL 33183-4627

Mailing address

PO Box 863393
Orlando, FL 32886-3393
Phone (305) 595-6488

Other identifiers 3

IdentifierTypeStateIssuer
39082OtherFLBC/BS
L03000001549OtherFLCORPOORATION
269223600MedicaidFL

National Provider Directory

National Provider Directory

Locations

11760 SW 40th St
Ste 654
Miami, FL 33175
Phone (305) 559-9696

12515 SW 88th St
Ste 228
Miami, FL 33186
Phone (305) 595-6488

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214524800000",
    "number": "1811954340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 863393",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328863393",
            "telephone_number": "305-595-6488",
            "fax_number": "305-595-3532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8501 SW 124TH AVE",
            "address_2": "SUITE 211",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331834627",
            "telephone_number": "305-595-6488",
            "fax_number": "305-595-3532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAVILION FOR WOMEN'S CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-27",
        "last_updated": "2008-06-27",
        "status": "A",
        "authorized_official_last_name": "KIRBY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "VP OF FINANCE",
        "authorized_official_telephone_number": "305-264-5252",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "39082",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CORPOORATION",
            "identifier": "L03000001549",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "269223600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.

Verify at the official NPI Registry.