Pediatric Health Choice

Primary specialty

Medically Fragile Infants and Children Day CareTaxonomy code 261QM3000X

Legal business name

PEDIATRIC HEALTH CHOICE

Practice address

3110 75TH St N
St Petersburg, FL 33710-2326

Phone

(727) 347-0010

NPI assigned

Jun 20, 2016

Organization subpart

Yes

Parent organization

PRESCRIBED PEDIATRIC EXTENDED CARE INCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Deborah Fraze

Title

Executive VP

Phone

(813) 870-0000

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Pediatric Health Choice at the Bishop Childrens Center Other name

Tax ID family

Pediatric Health Choice2 organizations share this tax ID, including this one

Part of

Pediatric Health Choice

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Pediatric Health Choice

  • Clinic/Center
  • St Petersburg, FL
  • NPI 1487051306
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1466380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648425600000",
    "number": "1023468162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8509 BENJAMIN RD STE D",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336341224",
            "telephone_number": "813-880-0320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3110 75TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337102326",
            "telephone_number": "727-347-0010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC HEALTH CHOICE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRESCRIBED PEDIATRIC EXTENDED CARE INC",
        "enumeration_date": "2016-06-20",
        "last_updated": "2022-03-28",
        "certification_date": "2022-03-28",
        "status": "A",
        "authorized_official_last_name": "FRAZE",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "EXECUTIVE VP",
        "authorized_official_telephone_number": "813-870-0000"
    },
    "taxonomies": [
        {
            "code": "261QM3000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medically Fragile Infants and Children Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30047800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric Health Choice at the Bishop Childrens Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Pediatric Emergency Physicians of St. Petersburg, PA
• Pediatric Feeding and Swallowing Associates
• Pediatric Feeding and Swallowing Associates
• Pediatric Gastroenterology Hepatology & Nutrition of FL P a
• Pediatric Health Care Alliance, PA
• Pediatric Health Choice
• Pediatric Hematology/Oncology ASC PA
• Pediatric Neurology Associates
• Pediatric Otolaryngology Head and Neck Surgeyr Assoc. PA
• Pediatric Physician Services, Inc.

• Medically Fragile Infants and Children Day Care in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Medically Fragile Infants and Children Day Care in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.