NPIMap

Organization Active NPI

Pediatric Services, Inc.

  • Health Service Clinic/Center
  • Atlantis, FL
National Provider Identifier
1174944847
Registry record updated Dec 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
60081000 Issued in FL
Legal business name
PEDIATRIC SERVICES, INC.
Practice address
111 JFK Dr Ste B
Atlantis, FL 33462-6634
Phone
(561) 227-2052
Fax
(561) 967-8889
NPI assigned
Dec 26, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2013

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

Authorized official

Name
Mr. Alan Soderquist
Title
Administrator
Phone
(305) 821-1262

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 60081000 FL Primary

Addresses

Primary practice location

111 JFK Dr Ste B
Atlantis, FL 33462-6634

Mailing address

111 JFK Dr Ste B
Atlantis, FL 33462-6634
Phone (561) 227-2052

Other identifiers 1

IdentifierTypeStateIssuer
003412103MedicaidFL

Other names 1

  • CSI, Special Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Csi Special Care15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1388016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388016000000",
    "number": "1174944847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 JFK DR STE B",
            "city": "ATLANTIS",
            "state": "FL",
            "postal_code": "334626634",
            "telephone_number": "561-227-2052",
            "fax_number": "561-967-8889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 JFK DR STE B",
            "city": "ATLANTIS",
            "state": "FL",
            "postal_code": "334626634",
            "telephone_number": "561-227-2052",
            "fax_number": "561-967-8889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-26",
        "last_updated": "2013-12-26",
        "status": "A",
        "authorized_official_last_name": "SODERQUIST",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "305-821-1262",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": "60081000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003412103",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CSI, Special Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Atlantis, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2013; 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.