NPIMap

Organization Active NPI

Helgemo & Liou Pediatrics

  • Pediatrics Physician
  • Port Charlotte, FL
National Provider Identifier
1093032278
Registry record updated Apr 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
HELGEMO & LIOU PEDIATRICS
Practice address
2040C Tamiami TRL
Port Charlotte, FL 33948-2178
Phone
(941) 629-4464
Fax
(941) 629-4701
NPI assigned
Apr 27, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2010

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

Authorized official

Name
Dewitt Benjamin Helgemo, MD
Title
Partner
Phone
(941) 629-4464

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

2040C Tamiami TRL
Port Charlotte, FL 33948-2178

Mailing address

2040C Tamiami TRL
Port Charlotte, FL 33948-2178
Phone (941) 629-4464

Other identifiers 1

IdentifierTypeStateIssuer
45354OtherFLBCBS OF FL

National Provider Directory

National Provider Directory

Locations

2040 Tamiami Trl
#C
Port Charlotte, FL 33948
Phone (941) 629-4464

2040C Tamiami Trl
Port Charlotte, FL 33948
Phone (941) 629-4464

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1272326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272326400000",
    "number": "1093032278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040C TAMIAMI TRL",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339482178",
            "telephone_number": "941-629-4464",
            "fax_number": "941-629-4701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040C TAMIAMI TRL",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339482178",
            "telephone_number": "941-629-4464",
            "fax_number": "941-629-4701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HELGEMO & LIOU PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-27",
        "last_updated": "2010-04-27",
        "status": "A",
        "authorized_official_last_name": "HELGEMO",
        "authorized_official_first_name": "DEWITT",
        "authorized_official_middle_name": "BENJAMIN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "941-629-4464",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FL",
            "identifier": "45354",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2010; 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.