Dr Panicker and Associates LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME86983 Issued in FL

Legal business name

DR PANICKER AND ASSOCIATES LLC

Practice address

5411 Grand Blvd
Suite 102
New Port Richey, FL 34652-4010

Phone

(727) 849-2535

NPI assigned

Nov 5, 2015

Last updated

Nov 5, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Usha Panicker, MDNPI 1538239736

Title

President

Phone

(727) 849-2535

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Usha Somasundara Panicker, MD

  • Pediatrics Physician
  • New Port Richey, FL
  • NPI 1538239736
  Authorized official Same address or phone
• Michele E Pedulla, ARNP

  • Pediatric Nurse Practitioner
  • New Port Richey, FL
  • NPI 1295057719
  NPD (past)

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

{
    "created_epoch": "1446681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446681600000",
    "number": "1144693649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5411 GRAND BLVD",
            "address_2": "SUITE 102",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346524010",
            "telephone_number": "727-849-2535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5411 GRAND BLVD",
            "address_2": "SUITE 102",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346524010",
            "telephone_number": "727-849-2535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR PANICKER AND ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-05",
        "last_updated": "2015-11-05",
        "status": "A",
        "authorized_official_last_name": "PANICKER",
        "authorized_official_first_name": "USHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-849-2535",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME86983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatrics Physician in New Port Richey, FL
• Providers in New Port Richey, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2015; 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.