Individual provider Active NPI

Erin L Garrigan, M.D.

  • Pediatrics Physician
  • St Petersburg, FL
National Provider Identifier
1154769875
Registry record updated Jul 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME138864 Issued in FL
Practice address
4105 49TH St N
St Petersburg, FL 33709-5711
Phone
(727) 528-6900
Fax
(727) 526-4346
NPI assigned
Jun 5, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME138864 FL Primary

Addresses

Primary practice location

4105 49TH St N
St Petersburg, FL 33709-5711

Mailing address

2115 Central Ave
St Petersburg, FL 33713-8815
Phone (727) 526-9135

Other identifiers 1

IdentifierTypeStateIssuer
103903900MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME138864FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health, Inc. Current Accepting new patients
Mariano D Cibran, MD Corp Dba St Petersburg Pediatrics Pediatrics CurrentSince Jul 31, 2022 Accepting new patients
Mariano D Cibran, MD Corp Dba St Petersburg Pediatrics Pediatrics PastSince Jul 31, 2022 Accepting new patients

Locations

4105 49th St N
St Petersburg, FL 33709
Phone (727) 528-6900

2115 Central Ave
St Petersburg, FL 33713
Phone (727) 526-9135

Interoperability endpoints

  • Direct secure messaging: egarrigan@stpetepeds.opdirect.net
  • Direct secure messaging: egarrigan188711@orlandohealth.medalliesdirect.net

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1370390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658880000000",
    "number": "1154769875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 CENTRAL AVE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337138815",
            "telephone_number": "727-526-9135",
            "fax_number": "727-526-4346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4105 49TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337095711",
            "telephone_number": "727-528-6900",
            "fax_number": "727-526-4346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRIGAN",
        "first_name": "ERIN",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-05",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME138864",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103903900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.