NPIMap

Organization Active NPI

Edward W Pelote MD PA

  • Internal Medicine Physician
  • Fort Pierce, FL
National Provider Identifier
1124160346
Registry record updated Sep 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME93493 Issued in FL
Legal business name
EDWARD W PELOTE MD PA
Practice address
1905 S 25TH St
Suite 100
Fort Pierce, FL 34947-4739
Phone
(772) 465-9901
NPI assigned
Feb 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2007

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

Authorized official

Name
Mendy L Harbour
Title
Billing Manager
Phone
(703) 876-2179

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME93493 FL Primary

Addresses

Primary practice location

1905 S 25TH St
Suite 100
Fort Pierce, FL 34947-4739

Mailing address

1905 S 25TH St
Suite 100
Fort Pierce, FL 34947-4739
Phone (772) 465-9901

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190851200000",
    "number": "1124160346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 S 25TH ST",
            "address_2": "SUITE 100",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349474739",
            "telephone_number": "772-465-9901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 S 25TH ST",
            "address_2": "SUITE 100",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349474739",
            "telephone_number": "772-465-9901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD W PELOTE MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2007-09-27",
        "status": "A",
        "authorized_official_last_name": "HARBOUR",
        "authorized_official_first_name": "MENDY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "703-876-2179"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME93493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Pierce, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2007; 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.