Organization Active NPI

Maxine E Hamilton Mdpa

  • Internal Medicine Physician
  • Fort Lauderdale, FL
National Provider Identifier
1912921693
Registry record updated Mar 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MAXINE E HAMILTON MDPA
Practice address
1330 SE 4TH Ave
Suite B
Fort Lauderdale, FL 33316-1958
Phone
(954) 463-3804
Fax
(954) 463-3805
NPI assigned
Jul 27, 2006
Last updated
Mar 2, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2011

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

Authorized official

Name
Dr. Maxine E Hamilton, MD
Title
President
Phone
(954) 463-3804

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

1330 SE 4TH Ave
Suite B
Fort Lauderdale, FL 33316-1958

Mailing address

1330 SE 4TH Ave
Suite B
Fort Lauderdale, FL 33316-1958
Phone (954) 463-3804

Other identifiers 1

IdentifierTypeStateIssuer
370218900MedicaidFL

National Provider Directory

National Provider Directory

Locations

1330 SE 4th Ave
Ste B
Ft Lauderdale, FL 33316
Phone (954) 463-3804

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299024000000",
    "number": "1912921693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 SE 4TH AVE",
            "address_2": "SUITE B",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333161958",
            "telephone_number": "954-463-3804",
            "fax_number": "954-463-3805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 SE 4TH AVE",
            "address_2": "SUITE B",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333161958",
            "telephone_number": "954-463-3804",
            "fax_number": "954-463-3805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXINE E HAMILTON MDPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2011-03-02",
        "status": "A",
        "authorized_official_last_name": "HAMILTON",
        "authorized_official_first_name": "MAXINE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-463-3804",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "370218900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2011; 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.