Active NPI
Laura Jean Hoss, M.D.
- Pediatrics Physician
- Palatka, FL
National Provider Identifier
1043208093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME 0050743
- 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, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04165 | Other | FL | BLUE CROSS BLUE SHIELD FL |
| 043223700 | Medicaid | FL |
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
| License | State | Type | Specialty |
|---|---|---|---|
| ME 0050743 | FL | MD | Pediatrics 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.