MEMORIAL HEALTHCARE SYSTEM
NPI 1194794511
Nurse Practitioner - Adult Health in Hollywood, FL
NPI Status: Active since March 16, 2006
Contact Information
3501 JOHNSON ST
HOLLYWOOD, FL
ZIP 33021
Phone: (954) 987-2020
- Organization
- Nurse Practitioner
- Adult Health
- Accepts Insurance
- CLIA Number: 10D2299057
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 02-12-2028
About MEMORIAL HEALTHCARE SYSTEM
This page provides the complete NPI Profile along with additional information for Memorial Healthcare System, a provider established in Hollywood, Florida operating as a Nurse Practitioner, focusing in adult health . The healthcare provider is registered in the NPI registry with number 1194794511 assigned on March 2006. The practitioner's primary taxonomy code is 363LA2200X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Memorial Healthcare System. The authorized official of this NPI record is Mr. Fredrick Bushkin M.d. (Director Medical Staff)
- NPI
- 1194794511
- Provider Legal Name
- SOUTH BROWARD HOSPITAL DISTRICT
- Other Organization Name
- MEMORIAL HEALTHCARE SYSTEM
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 3501 JOHNSON ST HOLLYWOOD, FL 33021
- Location Phone
- (954) 987-2020
- Mailing Address
- 3501 JOHNSON ST HOLLYWOOD, FL 33021
- Mailing Phone
- (954) 987-2000
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-16-2006
- Last Update Date
- 11-18-2020
- Code Navigator
A nurse practitioner (NP) like Memorial Healthcare System is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, 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
Nurse Practitioner Adult Health
- Taxonomy Code
- 363LA2200X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- AvMed Entrust Bronze 600 (2026) - HMO
- AvMed Entrust Bronze 650 (2026) - HMO
- AvMed Entrust Expanded Bronze Standard (2026) - HMO
- AvMed Entrust Gold 125 (2026) - HMO
- AvMed Entrust Gold 125 Dental+Vision (2026) - HMO
- AvMed Entrust Gold Standard (2026) - HMO
- AvMed Entrust Platinum 25 (2026) - HMO
- AvMed Entrust Platinum 25 Dental+Vision (2026) - HMO
- AvMed Entrust Platinum Standard (2026) - HMO
- AvMed Entrust Silver 350 (2026) - HMO
- AvMed Entrust Silver 350 Dental+Vision (2026) - HMO
- AvMed Entrust Silver 550 (2026) - HMO
- AvMed Entrust Silver 550 Dental+Vision (2026) - HMO
- AvMed Entrust Silver Standard (2026) - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 10D2299057
- Facility Type
- Physician Office
- Certificate Effective Date
- February 13, 2026
- Certificate Expiration Date
- February 12, 2028
- Laboratory Director
- JE ANNE BEAUFORT
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Memorial Healthcare System to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for MEMORIAL HEALTHCARE SYSTEM
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1194794511, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 1).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 69 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
HOLLYWOOD, FL 33021
HOLLYWOOD, FL 33021
HOLLYWOOD, FL 33021
HOLLYWOOD, FL 33021
HOLLYWOOD, FL 33021
HOLLYWOOD, FL 33021
HOLLYWOOD, FL 33021
HOLLYWOOD, FL 33021
HOLLYWOOD, FL 33021
HOLLYWOOD, FL 33021
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1194794511, enumerated as an "organization" on March 16, 2006.
The provider is located at 3501 JOHNSON ST HOLLYWOOD, FL 33021 and the phone number is (954) 987-2020.
Nurse Practitioner with taxonomy code 363LA2200X and a focus in Adult Health.
The provider might be accepting Accepts: AvMed. Please consult your insurance carrier or call the provider to verify.
