MEMORIAL DIVISION OF PEDIATRIC CARDIAC SURGERY – NPI #1376550392
Surgery

A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

MEMORIAL DIVISION OF PEDIATRIC CARDIAC SURGERY is a surgeon located in HOLLYWOOD, FL. NPPES has assigned the NPI number 1376550392 to MEMORIAL DIVISION OF PEDIATRIC CARDIAC SURGERY on August 02, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MEMORIAL DIVISION OF PEDIATRIC CARDIAC SURGERY” is a dba name, the actual legal business name for this organization is SOUTH BROWARD HOSPITAL DISTRICT. According to the NPI Registry, there are 3 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 2086S0120X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Pediatric Surgery

The NPI profile was previously updated about 3 years ago on Aug 31, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MEMORIAL DIVISION OF PEDIATRIC CARDIAC SURGERY below.

NPI Profile for
SOUTH BROWARD HOSPITAL DISTRICT

NPI Number
1376550392
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SOUTH BROWARD HOSPITAL DISTRICT
Doing Business As (dba): MEMORIAL DIVISION OF PEDIATRIC CARDIAC SURGERY
Primary location
1150 N 35TH AVE STE 490
HOLLYWOOD, FL 33021-5423
Phone: (954) 265-3437 Fax: (954) 265-3731
3 Other location(s):
3501 Johnson St Fl 1
Hollywood, FL 33021-5421
Phone: (954) 265-3437
Fax: (954) 265-3731
1971 SW 172nd Ave Ste 490
Miramar, FL 33029-5592
Phone: (954) 265-3437
Fax: (954) 276-3731
3377 S State Rd 7
Suite 100
Wellington, FL 33449
Phone: (954) 265-3437
Fax: (954) 265-3731
Mailing address
2900 CORPORATE WAY
DOOR D
MIRAMAR, FL 33025-3925
Phone: (954) 276-5685 Fax: (954) 985-7074
Organization Subpart
Yes - MEMORIAL DIVISION OF PEDIATRIC CARDIAC SURGERY is subpart of another organization.
Authorized Official
ESTHER SURUJON
CFO, MEMORIAL PHYSICIAN GROUP & SBC
Phone: (954) 265-6677
Updated
Certification Date
Aug 31, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for MEMORIAL DIVISION OF PEDIATRIC CARDIAC SURGERY

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDFL009173576
MEDICAIDFL038184524
MEDICAIDFL009173578
MEDICAIDFL009173516
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2086S0120X
- Surgery / Pediatric Surgery (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.