NPIMap

Organization Active NPI

Yoav, Barnavon, MD, PA

  • Plastic and Reconstructive Surgery Physician
  • Hollywood, FL
National Provider Identifier
1881883577
Registry record updated Oct 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
Legal business name
YOAV, BARNAVON, MD, PA
Practice address
1150 N 35TH Ave
Suite 200
Hollywood, FL 33021-5468
Phone
(954) 987-8100
Fax
(954) 989-0160
NPI assigned
Oct 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2020

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

Authorized official

Name
Yoav Bamavon, MD
Title
President
Phone
(954) 987-8100

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X ME0047713 FL
Plastic and Reconstructive Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0122X Primary

Addresses

Primary practice location

1150 N 35TH Ave
Suite 200
Hollywood, FL 33021-5468

Mailing address

1201 N 35 Ave
Suite 200
Hollywood, FL 33021-5468
Phone (954) 987-8100

Other identifiers 1

IdentifierTypeStateIssuer
378408800MedicaidFL

Other names 1

  • YOAV, BARNAVON, MD, PA Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101029001348 FL Part B Supplier - Clinic/Group Practice 8527252964 Receives reassigned benefits from 4 practitioners
Practice locations: Hollywood, FL

National Provider Directory

National Provider Directory

Locations

1201 N 35th Ave
#200
Hollywood, FL 33021

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 6

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": "1192665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601856000000",
    "number": "1881883577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 N 35 AVE",
            "address_2": "SUITE 200",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330215468",
            "telephone_number": "954-987-8100",
            "fax_number": "954-989-0160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 N 35TH AVE",
            "address_2": "SUITE 200",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330215468",
            "telephone_number": "954-987-8100",
            "fax_number": "954-989-0160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOAV, BARNAVON, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-18",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-05",
        "status": "A",
        "authorized_official_last_name": "BAMAVON",
        "authorized_official_first_name": "YOAV",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-987-8100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0047713",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "378408800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "YOAV, BARNAVON, MD, PA",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "YOAV, BARNAVON, MD, PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.