Active NPI
Carla J Pardo, M.D.
- Anesthesiology Physician
- Orange Park, FL
National Provider Identifier
1083753909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- ME96002
- Practice address
- 2021 Kingsley Ave
Suite 105
Orange Park, FL 32073-5174 - Phone
- (904) 276-5400
- Fax
- (904) 276-5430
- NPI assigned
- Feb 6, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | ME96002 | FL | Primary |
Addresses
Primary practice location
2021 Kingsley Ave
Suite 105
Orange Park, FL 32073-5174
Mailing address
1804 Wind Ridge CT
Orange Park, FL 32003-4704
Phone (904) 592-7563
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1304380800000",
"number": "1083753909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1804 WIND RIDGE CT",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320034704",
"telephone_number": "904-592-7563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2021 KINGSLEY AVE",
"address_2": "SUITE 105",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320735174",
"telephone_number": "904-276-5400",
"fax_number": "904-276-5430"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARDO",
"first_name": "CARLA",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-06",
"last_updated": "2011-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "FL",
"license": "ME96002",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orange Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.