MEMORIAL DIVISION OF PEDIATRIC COMPLEX CARE
NPI 1063013787
Pediatrics in Hollywood, FL

NPI Status: Active since November 09, 2020

Contact Information

1005 JOE DIMAGGIO DR
PEDIATRICS FLOOR 4
HOLLYWOOD, FL
ZIP 33021
Phone: (954) 265-6331
Fax: (954) 893-6244

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  • Organization
  • Pediatrics
  • Accepts Insurance

About MEMORIAL DIVISION OF PEDIATRIC COMPLEX CARE

This page provides the complete NPI Profile along with additional information for Memorial Division Of Pediatric Complex Care, a pediatrician established in Hollywood, Florida operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1063013787 assigned on November 2020. The practitioner's primary taxonomy code is 208000000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. Memorial Division Of Pediatric Complex Care operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Memorial Division Of Pediatric Complex Care. The authorized official of this NPI record is Esther Surujon (Chief Financial Officer Mpg And Mpc)

NPI
1063013787
Provider Legal Name
SOUTH BROWARD HOSPITAL DISTRICT
Other Organization Name
MEMORIAL DIVISION OF PEDIATRIC COMPLEX CARE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1005 JOE DIMAGGIO DR PEDIATRICS FLOOR 4 HOLLYWOOD, FL 33021
Location Phone
(954) 265-6331
Location Fax
(954) 893-6244
Mailing Address
2900 CORPORATE WAY DOOR D MIRAMAR, FL 33025
Mailing Phone
(954) 276-5685
Mailing Fax
(954) 893-6244
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
11-09-2020
Last Update Date
11-09-2020
Code Navigator

A pediatrician like Memorial Division Of Pediatric Complex Care is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics

Taxonomy Code
208000000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Clear VALUE Silver - HMO
  • Complete VALUE Gold - HMO
  • Focused VALUE Silver - HMO
  • Focused VALUE Silver + Vision + Adult Dental - HMO
  • Standard Gold VALUE - HMO
  • Standard Silver VALUE - HMO
  • Standard Silver VALUE + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete VALUE Gold - HMO
  • Complete VALUE Silver - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Silver - HMO
  • Elite Silver + Vision + Adult Dental - HMO
  • Elite VALUE Bronze - HMO
  • Enhanced Diabetes Care Silver with $0 Drug Options - HMO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Elite Silver - EPO
  • Elite Silver + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Connect Bronze 0 Indiv Med Deductible - EPO
  • Connect Bronze 5500 Indiv Med Deductible - EPO
  • Connect Bronze 6500 Indiv Med Deductible Enhanced Diabetes Care - EPO
  • Connect Bronze CMS Standard - EPO
  • Connect Gold 2000 Indiv Med Deductible - EPO
  • Connect Gold 800 Indiv Med Deductible - EPO
  • Connect Gold CMS Standard - EPO
  • Connect Silver 3600 Indiv Med Deductible - EPO
  • Connect Silver 4300 Indiv Med Deductible - EPO
  • Connect Silver CMS Standard - EPO
  • BlueOptions Bronze (HSA) 24J01-10 (Rewards / $4 Condition Care Rx) - PPO
  • BlueOptions Bronze 24J01-04 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - PPO
  • BlueOptions Bronze 24J01-06 ($0 Virtual PCP Visits / Rewards) - PPO
  • BlueOptions Bronze 24J01-17 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - PPO
  • BlueOptions Bronze 24J01-18S (Multilingual Available / Rewards) - PPO
  • BlueOptions Gold 24J01-09 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - PPO
  • BlueOptions Gold 24J01-12 ($0 Virtual PCP Visits / $15 Labs / Rewards) - PPO
  • BlueOptions Gold 24J01-20S ($30 PCP Visits / Multilingual Available / Rewards) - PPO
  • BlueOptions Platinum 24J01-05 ($0 Virtual PCP Visits / $0 Labs / $15 PCP Visits / Rewards) - PPO
  • BlueOptions Platinum 24J01-08 ($0 Virtual PCP Visits / $0 Labs / $10 PCP Visits / Rewards) - PPO
  • BlueCare Bronze (HSA) 24K01-09 (Rewards / $4 Condition Care Rx) - POS
  • BlueCare Bronze 24K01-03 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - POS
  • BlueCare Bronze 24K01-05 ($0 Virtual PCP Visits / Rewards) - POS
  • BlueCare Bronze 24K01-25 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - POS
  • BlueCare Bronze 24K01-31S (Multilingual Available / Rewards) - POS
  • BlueCare Bronze 24K02-17 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - POS
  • BlueCare Bronze 24K02-18 ($0 Virtual PCP Visits / Rewards) - POS
  • BlueCare Bronze 24K02-23 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - POS
  • BlueCare Bronze 24K02-26S (Multilingual Available / Rewards) - POS
  • BlueCare Gold 24K01-08 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - POS
  • Bronze 4 - HMO
  • Bronze 8 - HMO
  • Gold 1 - HMO
  • Gold 1 with Adult Vision Services - HMO
  • Gold 8 - HMO
  • Silver 1 - HMO
  • Silver 1 with Adult Vision Services - HMO
  • Silver 12 with First 4 Primary Care Visits Free - HMO
  • Silver 8 - HMO
  • Silver 9 - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ESTHER SURUJON

Authorized Official Title
CHIEF FINANCIAL OFFICER MPG AND MPC
Authorized Official Phone
(954) 265-6677

Reviews for MEMORIAL DIVISION OF PEDIATRIC COMPLEX CARE

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1063013787
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20123016716
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 2 + 3 + 0 + 1 + 6 + 7 + 1 + 6 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 77

The NPI number 1063013787 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1104321488 LORA DANIELOVA BOJILOVA MD
Individual
Student in an Organized Health Care Education/Training Program1005 JOE DIMAGGIO DR
HOLLYWOOD, FL 33021
(954) 265-4461
1932660081 KENNETH MICHAEL DELGADO MD
Individual
Student in an Organized Health Care Education/Training Program1005 JOE DIMAGGIO DR
HOLLYWOOD, FL 33021
(954) 265-5324
1598227480 ERIN KRISTINA RAMOUTAR MD
Individual
Student in an Organized Health Care Education/Training Program1005 JOE DIMAGGIO DR
HOLLYWOOD, FL 33021
(954) 265-4461
1689135568DR. ZINA MCSWEENEY DO
Individual
Student in an Organized Health Care Education/Training Program1005 JOE DIMAGGIO DR
HOLLYWOOD, FL 33021
(954) 265-4461
1144543786 DIANA LYNN GELFAND LCSW
Individual
Social Worker (Clinical)1005 JOE DIMAGGIO DR
HOLLYWOOD, FL 33021
(954) 265-5324
1306408778 ANNA JEDLINSKI LCSW
Individual
Social Worker (Clinical)1005 JOE DIMAGGIO DR
HOLLYWOOD, FL 33021
(954) 265-5324
1194377549 DINA WEISS
Individual
Social Worker (Clinical)1005 JOE DIMAGGIO DR
HOLLYWOOD, FL 33021
(954) 265-8538
1184276651 SHAWNA YATES LCSW
Individual
Social Worker (Clinical)1005 JOE DIMAGGIO DR
HOLLYWOOD, FL 33021
(954) 265-5324
1801449103 ALICIA N BROWN LCSW
Individual
Social Worker (Clinical)1005 JOE DIMAGGIO DR
HOLLYWOOD, FL 33021
(954) 265-5324
1831742121 MARCY HOROWITZ LCSW
Individual
Social Worker (Clinical)1005 JOE DIMAGGIO DR
HOLLYWOOD, FL 33021
(954) 265-5324
1144879826 RAICHETON CHEVETTE LE NNP-BC
Individual
Nurse Practitioner (Neonatal, Critical Care)1005 JOE DIMAGGIO DR
HOLLYWOOD, FL 33021
(317) 626-1031
1306480306 DOMINIQUE D. MILTON LCSW
Individual
Social Worker (Clinical)1005 JOE DIMAGGIO DR
HOLLYWOOD, FL 33021
(954) 265-5324
1083259121 MARJORIE SUZANNE PROPHETE LCSW
Individual
Social Worker (Clinical)1005 JOE DIMAGGIO DR
HOLLYWOOD, FL 33021
(954) 265-6966
1891745154 DANIEL CARVALLO M.D.
Individual
Anesthesiology1005 JOE DIMAGGIO DR
HOLLYWOOD, FL 33021
(954) 265-5324
1902439607 SANDRA GREGORISCH APRN-BC
Individual
Nurse Practitioner (Neonatal)1005 JOE DIMAGGIO DR
HOLLYWOOD, FL 33021
(954) 265-5324
1376142968 LISA FARKAS MS, RDN, LDN, CDCES
Individual
Dietitian, Registered1005 JOE DIMAGGIO DR
HOLLYWOOD, FL 33021
(954) 265-5324
1689271421SHELLY LEVIN PLLC
Organization
Dentist (Pediatric Dentistry)1005 JOE DIMAGGIO DR
HOLLYWOOD, FL 33021
(561) 899-6578
1871674135 EDOUARD SAADE
Individual
Anesthesiology1005 JOE DIMAGGIO DR
HOLLYWOOD, FL 33021
(954) 265-5324
1629126149 KELLY M CLAYTON MD
Individual
Pediatrics (Pediatric Emergency Medicine)1005 JOE DIMAGGIO DR
HOLLYWOOD, FL 33021
(954) 265-3482
1912133000DR. SUZANNE VANVALKENBURGH M.D.
Individual
Anesthesiology1005 JOE DIMAGGIO DR
HOLLYWOOD, FL 33021
(954) 265-3044

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063013787, enumerated in the NPI registry as an "organization" on November 09, 2020

The provider is located at 1005 Joe Dimaggio Dr Pediatrics Floor 4 Hollywood, Fl 33021 and the phone number is (954) 265-6331

This medical organization specializes in Pediatrics with taxonomy code 208000000X

The provider might be accepting Accepts: Ambetter from Superior HealthPlan, Ambetter. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on November 09, 2020. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.