Organization Active NPI

Ira M. Stein, M.D., L.L.C

  • Pediatric Otolaryngology Physician
  • Loxahatchee, FL
National Provider Identifier
1902010697
Registry record updated Feb 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Otolaryngology PhysicianTaxonomy code 207YP0228X
License
ME0078470 Issued in FL
Legal business name
IRA M. STEIN, M.D., L.L.C
Practice address
13005 Southern Blvd
Building 1, Suite 124
Loxahatchee, FL 33470-9206
Phone
(561) 204-4240
Fax
(561) 204-4242
NPI assigned
May 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2008

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

Authorized official

Name
Dr. Ira Michael Stein, M.D.NPI 1285600791
Title
Manager
Phone
(561) 204-4240

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207YP0228X ME0078470 FL Primary

Addresses

Primary practice location

13005 Southern Blvd
Building 1, Suite 124
Loxahatchee, FL 33470-9206

Mailing address

13005 Southern Blvd
Building 1, Suite 124
Loxahatchee, FL 33470-9206
Phone (561) 204-4240

Other identifiers 1

IdentifierTypeStateIssuer
1285600791OtherFLNPI -INDIVIDUAL

Other names 1

  • Pediatric ENT of the Palm Beaches Doing business as

National Provider Directory

National Provider Directory

Locations

13005 Southern Blvd
Ste 124
Loxahatchee, FL 33470
Phone (561) 204-4240

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202428800000",
    "number": "1902010697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13005 SOUTHERN BLVD",
            "address_2": "BUILDING 1, SUITE 124",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "334709206",
            "telephone_number": "561-204-4240",
            "fax_number": "561-204-4242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13005 SOUTHERN BLVD",
            "address_2": "BUILDING 1, SUITE 124",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "334709206",
            "telephone_number": "561-204-4240",
            "fax_number": "561-204-4242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRA M. STEIN, M.D., L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2008-02-08",
        "status": "A",
        "authorized_official_last_name": "STEIN",
        "authorized_official_first_name": "IRA",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "561-204-4240",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207YP0228X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Pediatric Otolaryngology",
            "state": "FL",
            "license": "ME0078470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI -INDIVIDUAL",
            "identifier": "1285600791",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric ENT of the Palm Beaches",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Loxahatchee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.