Tae Y Rho MD PA

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME032490 Issued in FL

Legal business name

TAE Y RHO MD PA

Practice address

1250 S 18TH St
Suite 201
Fernandina Beach, FL 32034

Phone

(904) 261-7707

Fax

(904) 261-8616

NPI assigned

Sep 26, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Tae Y Rho, MD

Title

President

Phone

(904) 261-7707

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.

• Raeann Alboher, ARNP

  • Pediatric Nurse Practitioner
  • Fernandina Beach, FL
  • NPI 1871856146
  NPD (past)
• Amelia Phillips, ARNP

  • Pediatric Nurse Practitioner
  • Fernandina Beach, FL
  • NPI 1770987869
  NPD (past)

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174624902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 S 18TH ST",
            "address_2": "SUITE 201",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "32034",
            "telephone_number": "904-261-7707",
            "fax_number": "904-261-8616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 S 18TH ST",
            "address_2": "SUITE 201",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "32034",
            "telephone_number": "904-261-7707",
            "fax_number": "904-261-8616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAE Y RHO MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RHO",
        "authorized_official_first_name": "TAE",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-261-7707",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME032490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatrics Physician in Fernandina Beach, FL
• Providers in Fernandina Beach, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.