Organization Active NPI

All Star Pediatrics

  • Primary Care Clinic/Center
  • Orlando, FL
National Provider Identifier
1144683889
Registry record updated Mar 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
0055614 Issued in FL
Legal business name
ALL STAR PEDIATRICS
Practice address
14065 Town Loop Blvd
Suite 300
Orlando, FL 32837-6199
Phone
(407) 240-5554
Fax
(407) 240-5543
NPI assigned
Mar 31, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2016

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

Authorized official

Name
Ms. Keely Sauer
Title
Manager
Phone
(407) 240-5554

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 0055614 FL Primary

Addresses

Primary practice location

14065 Town Loop Blvd
Suite 300
Orlando, FL 32837-6199

Mailing address

14065 Town Loop Blvd
Suite 300
Orlando, FL 32837-6199
Phone (407) 240-5554

Other identifiers 1

IdentifierTypeStateIssuer
0619388-00MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
All Star Pediatrics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1459382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459382400000",
    "number": "1144683889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14065 TOWN LOOP BLVD",
            "address_2": "SUITE 300",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328376199",
            "telephone_number": "407-240-5554",
            "fax_number": "407-240-5543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14065 TOWN LOOP BLVD",
            "address_2": "SUITE 300",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328376199",
            "telephone_number": "407-240-5554",
            "fax_number": "407-240-5543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALL STAR PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-31",
        "last_updated": "2016-03-31",
        "status": "A",
        "authorized_official_last_name": "SAUER",
        "authorized_official_first_name": "KEELY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "407-240-5554",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "0055614",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0619388-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2016; 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.