Pediatric Associates PA

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

PEDIATRIC ASSOCIATES PA

Practice address

4435 Highway 90
Pace, FL 32571-2066

Phone

(850) 994-0901

Fax

(850) 994-2737

NPI assigned

Mar 14, 2013

Organization subpart

Yes

Parent organization

PEDIATRIC ASSOCIATES PAAs reported in NPPES

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

Authorized official

Name

Debbie Chavers

Title

Practices Administrator

Phone

(850) 478-1100

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Pediataic Associates PA- Other name

Tax ID family

Pediatrics Associates3 organizations share this tax ID, including this one

Part of

Pediatrics Associates

Other organizations with this tax ID 2

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

• Pediatric Associates PA

  • Allergy & Immunology Physician
  • Pensacola, FL
  • NPI 1326380213
  NPD tax ID
• Pediatric Associates PA

  • Pediatrics Physician
  • Pensacola, FL
  • NPI 1730243692
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Pediatric Associates PA

  • Pediatrics Physician
  • Pensacola, FL
  • NPI 1730243692
  NPPES parent name

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

{
    "created_epoch": "1363219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522022400000",
    "number": "1124369160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4435 HIGHWAY 90",
            "city": "PACE",
            "state": "FL",
            "postal_code": "325712066",
            "telephone_number": "850-994-0901",
            "fax_number": "850-994-2740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4435 HIGHWAY 90",
            "city": "PACE",
            "state": "FL",
            "postal_code": "325712066",
            "telephone_number": "850-994-0901",
            "fax_number": "850-994-2737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC ASSOCIATES PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PEDIATRIC ASSOCIATES PA",
        "enumeration_date": "2013-03-14",
        "last_updated": "2018-03-26",
        "status": "A",
        "authorized_official_last_name": "CHAVERS",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "PRACTICES ADMINISTRATOR",
        "authorized_official_telephone_number": "850-478-1100"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "280234101",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediataic Associates PA-",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ashley Marie Patterson, MSN,FNP-BC
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• Peace by Pieces Mental Health Services, PLLC
• Cassie Peacock
• Lisa Pendleton, LMT
• Pensacola Diagnostic Radiography, Inc.
• Pensacola Pediatrics PA
• Pensacola Primary Care Inc (West Florida Primary Care)
• Nydia Kayanna Perez

• Pediatrics Physician in Pace, FL
• Providers in Pace, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2018; 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.