Active NPI
Kids and Teens Orthopaedic Surgery
- Orthopaedic Surgery Physician
- West Palm Beach, FL
National Provider Identifier
1891737516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- ME 84411
- Legal business name
- KIDS AND TEENS ORTHOPAEDIC SURGERY
- Practice address
- 8645 N Military TRL
Suite 501
West Palm Beach, FL 33410-6294 - Phone
- (561) 691-8050
- Fax
- (561) 622-9942
- NPI assigned
- Jun 11, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ahamed Mohaideen, MD
- Title
- President
- Phone
- (561) 906-7680
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | ME 84411 | FL | Primary |
Addresses
Primary practice location
8645 N Military TRL
Suite 501
West Palm Beach, FL 33410-6294
Mailing address
PO Box 32367
Palm Beach Gardens, FL 33420-2367
Phone (561) 906-7680
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 264003100 | Medicaid | FL |
National Provider Directory
National Provider DirectoryInteroperability endpoints
- https://api.platform.athenahealth.com/3445/brand/1/csg/1/fhir/r4
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149984000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1354665600000",
"number": "1891737516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 32367",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334202367",
"telephone_number": "561-906-7680",
"fax_number": "866-405-2914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8645 N MILITARY TRL",
"address_2": "SUITE 501",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334106294",
"telephone_number": "561-691-8050",
"fax_number": "561-622-9942"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KIDS AND TEENS ORTHOPAEDIC SURGERY",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-11",
"last_updated": "2012-12-05",
"status": "A",
"authorized_official_last_name": "MOHAIDEEN",
"authorized_official_first_name": "AHAMED",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "561-906-7680",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": "FL",
"license": "ME 84411",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "264003100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Palm Beach, FL
- George G Khouri, M.D.
- Yousef F Khouri, M.D.
- Kid Centered Therapy Two LLC
- Marshal Issoy Kider
- Kidney & Dialysis Specialists of the Palm Beaches, PA
- Kids Speech, Physical, and Occupational Therapy, Inc
- Kidspeace Services Inc
- Joan B. Kieffer, LCSW
- Jessica Leigh Kikla, ARNP
- Kim Kishin Gandhi, D.D.S., P.a.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.