Organization Active NPI

Kids and Teens Orthopaedic Surgery

  • Orthopaedic Surgery Physician
  • West Palm Beach, FL
National Provider Identifier
1891737516
Registry record updated Dec 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
ME 84411 Issued in FL
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

Updated by the provider on Dec 5, 2012

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)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
264003100MedicaidFL

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: 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

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.

Verify at the official NPI Registry.