Individual provider Active NPI

Laura Jean Hoss, M.D.

  • Pediatrics Physician
  • Palatka, FL
National Provider Identifier
1043208093
Registry record updated Jan 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME 0050743 Issued in FL
Practice address
6910 Old Wolf Bay Rd
Kids Care Pediatrics, PA
Palatka, FL 32177-6800
Phone
(386) 328-7337
NPI assigned
Oct 12, 2005
Last updated
Jan 27, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME 0050743 FL Primary

Addresses

Primary practice location

6910 Old Wolf Bay Rd
Kids Care Pediatrics, PA
Palatka, FL 32177-6800

Mailing address

6910 Old Wolf Bay Rd
Kids Care Pediatrics, PA
Palatka, FL 32177-6800
Phone (386) 328-7337

Other identifiers 2

IdentifierTypeStateIssuer
04165OtherFLBLUE CROSS BLUE SHIELD FL
043223700MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME 0050743FLMDPediatrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296086400000",
    "number": "1043208093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6910 OLD WOLF BAY RD",
            "address_2": "KIDS CARE PEDIATRICS, PA",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321776800",
            "telephone_number": "386-328-7337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6910 OLD WOLF BAY RD",
            "address_2": "KIDS CARE PEDIATRICS, PA",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321776800",
            "telephone_number": "386-328-7337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOSS",
        "first_name": "LAURA",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-12",
        "last_updated": "2011-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME 0050743",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD FL",
            "identifier": "04165",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "043223700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palatka, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2011; 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.