NPIMap

Organization Active NPI

Children'S Orthopaedic & Scoliosis Surgery Associates, LLP

  • Pediatric Orthopaedic Surgery Physician
  • Tampa, FL
National Provider Identifier
1104055466
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Orthopaedic Surgery PhysicianTaxonomy code 207XP3100X
Legal business name
CHILDREN'S ORTHOPAEDIC & SCOLIOSIS SURGERY ASSOCIATES, LLP
Practice address
3440 W Dr Martin Luther King Jr Blvd Ste 200
Tampa, FL 33607-6223
Phone
(813) 879-2663
Fax
(813) 872-0286
NPI assigned
Jul 8, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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

Authorized official

Name
Mrs. Carol Ittig, MBA, FACMPE
Title
Administrator
Phone
(727) 568-6840

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207XP3100X Primary

Addresses

Primary practice location

3440 W Dr Martin Luther King Jr Blvd Ste 200
Tampa, FL 33607-6223

Mailing address

625 6TH Ave S Ste 450
St Petersburg, FL 33701-4629
Phone (727) 898-2663

Other identifiers 1

IdentifierTypeStateIssuer
375965208MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Children'S Orthopaedic Scoliosis Surgery Associates LLP7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

NPI Registry JSON

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

{
    "created_epoch": "1247011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737590400000",
    "number": "1104055466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 6TH AVE S STE 450",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337014629",
            "telephone_number": "727-898-2663",
            "fax_number": "727-568-6836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3440 W DR MARTIN LUTHER KING JR BLVD STE 200",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076223",
            "telephone_number": "813-879-2663",
            "fax_number": "813-872-0286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S ORTHOPAEDIC & SCOLIOSIS SURGERY ASSOCIATES, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-08",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A",
        "authorized_official_last_name": "ITTIG",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "727-568-6840",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MBA, FACMPE"
    },
    "taxonomies": [
        {
            "code": "207XP3100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "375965208",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; 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.