Provider Demographics
NPI: | 1437127529 |
---|---|
Name: | BAPTIST OUTPATIENT SERVICES INC |
Entity type: | Organization |
Organization Name: | BAPTIST OUTPATIENT SERVICES INC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | CHIEF EXECUTIVE OFFICER |
Authorized Official - Prefix: | |
Authorized Official - First Name: | NANCY |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | BATISTA-RODRIGUEZ |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 786-662-7111 |
Mailing Address - Street 1: | 6855 S RED RD |
Mailing Address - Street 2: | SUITE 500 |
Mailing Address - City: | CORAL GABLES |
Mailing Address - State: | FL |
Mailing Address - Zip Code: | 33143-3632 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 786-662-7980 |
Mailing Address - Fax: | 786-533-9403 |
Practice Address - Street 1: | 8950 N KENDALL DR |
Practice Address - Street 2: | |
Practice Address - City: | MIAMI |
Practice Address - State: | FL |
Practice Address - Zip Code: | 33176-2144 |
Practice Address - Country: | US |
Practice Address - Phone: | 786-596-7200 |
Practice Address - Fax: | 786-596-2352 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2006-03-14 |
Last Update Date: | 2018-05-11 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 2085R0202X | Allopathic & Osteopathic Physicians | Radiology | Diagnostic Radiology | Group - Multi-Specialty |
No | 207ZM0300X | Allopathic & Osteopathic Physicians | Pathology | Medical Microbiology | Group - Multi-Specialty |
No | 2085B0100X | Allopathic & Osteopathic Physicians | Radiology | Body Imaging | Group - Multi-Specialty |
No | 2085D0003X | Allopathic & Osteopathic Physicians | Radiology | Diagnostic Neuroimaging | Group - Multi-Specialty |
No | 2085N0904X | Allopathic & Osteopathic Physicians | Radiology | Nuclear Radiology | Group - Multi-Specialty |
No | 2085R0204X | Allopathic & Osteopathic Physicians | Radiology | Vascular & Interventional Radiology | Group - Multi-Specialty |
No | 2085U0001X | Allopathic & Osteopathic Physicians | Radiology | Diagnostic Ultrasound | Group - Multi-Specialty |
No | 208D00000X | Allopathic & Osteopathic Physicians | General Practice | Group - Multi-Specialty | |
No | 207RI0011X | Allopathic & Osteopathic Physicians | Internal Medicine | Interventional Cardiology | Group - Multi-Specialty |
No | 207RS0012X | Allopathic & Osteopathic Physicians | Internal Medicine | Sleep Medicine | Group - Multi-Specialty |
No | 207U00000X | Allopathic & Osteopathic Physicians | Nuclear Medicine | Group - Multi-Specialty | |
No | 207UN0902X | Allopathic & Osteopathic Physicians | Nuclear Medicine | Nuclear Imaging & Therapy | Group - Multi-Specialty |
No | 207ZH0000X | Allopathic & Osteopathic Physicians | Pathology | Hematology | Group - Multi-Specialty |
No | 207ZI0100X | Allopathic & Osteopathic Physicians | Pathology | Immunopathology | Group - Multi-Specialty |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
1512 | Other | MEDICA | |
2420418 | Other | UNITED | |
F00242041801 | Other | NEIGHBORHOOD HEALTH | |
FL | 1512 | Other | MEDICA |
3161380 | Other | AETNA HMO | |
FL | 285239 | Other | AVMED |
FL | 268401200 | Medicaid | |
FL | 8202105 | Other | AETNA NON HMO |
97694 | Other | BLUE CROSS BLUE SHIELD | |
16-03678 | Other | UNITED MEDICARE | |
FL | 285239 | Other | AVMED |
3161380 | Other | AETNA HMO | |
16-03678 | Other | UNITED MEDICARE | |
========= | Other | COVENTRY PPO | |
========= | Other | FIRST HEALTH | |
1512 | Other | MEDICA | |
FL | 8202105 | Other | AETNA NON HMO |
========= | Other | BEECH STREET | |
========= | Other | HUMANA CHOICE | |
97694 | Other | BLUE CROSS BLUE SHIELD | |
========= | Other | CORVEL | |
========= | Other | COVENTRY HEALTH PLAN OF FLORIDA | |
========= | Other | DIMENSION | |
========= | Other | TRICARE | |
========= | Other | COVENTRY HEALTH CARE OF FLORIDA |