Organization Active NPI

North Pinellas Childrens Medical Center Inc

  • Pediatrics Physician
  • Palm Harbor, FL
National Provider Identifier
1194812552
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
NORTH PINELLAS CHILDRENS MEDICAL CENTER INC
Practice address
31860 US Highway 19 N
Palm Harbor, FL 34684-3713
Phone
(727) 787-6335
Fax
(727) 772-2160
NPI assigned
Oct 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Efstratios Pantages, M.D.NPI 1366534976
Title
President
Phone
(727) 787-6335

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X FL Primary

Addresses

Primary practice location

31860 US Highway 19 N
Palm Harbor, FL 34684-3713

Mailing address

31860 US Highway 19 N
Palm Harbor, FL 34684-3713
Phone (727) 787-6335

Other identifiers 3

IdentifierTypeStateIssuer
263883502MedicaidFL
263883500MedicaidFL
263883501MedicaidFL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0298601North Pinellas Childrens Medical Center Inc31860 US 19 North, Palm Harbor, FL 34684Certificate of waiverMar 11, 2027

National Provider Directory

National Provider Directory

Locations

23026 State Road 54
Lutz, FL 33549
Phone (813) 751-3131

10537 State Road 54
Ste 305
New Port Richey, FL 34655

12780 Race Track Rd
Ste 305
Tampa, FL 33626
Phone (813) 891-6501

10537 State Road 54
Trinity, FL 34655
Phone (727) 376-8404

Practitioners & affiliated clinicians

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1194812552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31860 US HIGHWAY 19 N",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346843713",
            "telephone_number": "727-787-6335",
            "fax_number": "727-772-2160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31860 US HIGHWAY 19 N",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346843713",
            "telephone_number": "727-787-6335",
            "fax_number": "727-772-2160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH PINELLAS CHILDRENS MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "PANTAGES",
        "authorized_official_first_name": "EFSTRATIOS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-787-6335",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "263883502",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "263883500",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "263883501",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Harbor, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.