Active NPI
Edwin Michael C Sia, MD
- Pediatrics Physician
- Davenport, FL
National Provider Identifier
1114949575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME92906
- Practice address
- 103 Park Place Blvd
Davenport, FL 33837-6858 - Phone
- (863) 421-1855
- Fax
- (863) 421-2624
- NPI assigned
- Jul 24, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME92906 | FL | Primary |
Addresses
Primary practice location
103 Park Place Blvd
Davenport, FL 33837-6858
Mailing address
103 Park Place Blvd
Davenport, FL 33837-6858
Phone (863) 421-1855
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 37251 | Other | FL | BCBS |
| 273638100 | 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 |
|---|---|---|---|
| ME92906 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Davenport Pediatrics | Single Specialty | Past | Accepting new patients |
| Davenport Pediatrics P D | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- edwin.sia@davpeds.eclinicaldirectplus.com
- https://fhir4.healow.com/fhir/r4/FGDHBA/Endpoint/FGDHBA
- https://fhir4.healow.com/fhir/r4/FGDHBA
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatrics Physician
- Dania Beach, FL
- NPI 1215861315
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781136000000",
"number": "1114949575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 PARK PLACE BLVD",
"city": "DAVENPORT",
"state": "FL",
"postal_code": "338376858",
"telephone_number": "863-421-1855",
"fax_number": "863-421-2624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 PARK PLACE BLVD",
"city": "DAVENPORT",
"state": "FL",
"postal_code": "338376858",
"telephone_number": "863-421-1855",
"fax_number": "863-421-2624"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIA",
"first_name": "EDWIN MICHAEL",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-24",
"last_updated": "2026-06-11",
"certification_date": "2026-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "FL",
"license": "ME92906",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "37251",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "273638100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Davenport, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.