Provider Type Icon

PHYSICIAN PRACTICES OF MSMC LLC NPI 1356630628


NPI Information

NPI: 1356630628
Provider Name: PHYSICIAN PRACTICES OF MSMC, LLC
Classification: Neurological Surgery - 207T00000X
Entity Type: Organization

CLIA Number: 10D2228792

Address:
4302 ALTON RD
SUITE 830
MIAMI BEACH, FL
ZIP 33140
Phone: (305) 674-2404
Get Directions

PHYSICIAN PRACTICES OF MSMC, LLC is a neurological surgery in Miami Beach, FL. The provider is a neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. PHYSICIAN PRACTICES OF MSMC, LLC NPI is 1356630628. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4302 ALTON RD
SUITE 830
MIAMI BEACH, FL
ZIP 33140-891
Phone: (305) 674-2404
Fax: (305) 674-2544

The provider's authorized official is Wayne Chutkan .
The authorized official title is Vp Of Finace and has the following contact phone number (305) 674-2662.

The CLIA number assigned to this NPI record is 10D2228792 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/7/2011 and was last updated on 3/31/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0204XRadiologyVascular & Interventional RadiologyNo
2208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)No
3208VP0000XPain MedicinePain MedicineME388396FLORIDANo
4207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismNo
5207RG0100XInternal MedicineGastroenterologyNo
62080N0001XPediatricsNeonatal-Perinatal MedicineNo
7207R00000XInternal MedicineNo
82084N0400XPsychiatry & NeurologyNeurologyNo
9207T00000XNeurological SurgeryME36383FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.