Guardian Angel Pediatrics

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

61174 Issued in FL

Legal business name

GUARDIAN ANGEL PEDIATRICS

Practice address

5220 4TH Avenue Cir E
Bradenton, FL 34208-5621

Phone

(941) 747-0373

Fax

(941) 747-0336

NPI assigned

Feb 24, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Chandra Robinson Williams, M.D.

Title

Owner

Phone

(941) 747-0373

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1235433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241136000000",
    "number": "1194965681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5220 4TH AVENUE CIR E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342085621",
            "telephone_number": "941-747-0373",
            "fax_number": "941-747-0336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5220 4TH AVENUE CIR E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342085621",
            "telephone_number": "941-747-0373",
            "fax_number": "941-747-0336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN ANGEL PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-24",
        "last_updated": "2009-05-01",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "CHANDRA",
        "authorized_official_middle_name": "ROBINSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-747-0373",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "61174",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "057720100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ronald G Grubb, D.O.
• Stacey Gruber, MD
• Julia A Gruppuso, DMD
• Lori Stephanie Gruskin, DMD
• Stormi Nicole Grzybek
• Guardian Home Health LLC
• Carl P Guarino, MD
• Cameron Stephen Guay, DO
• Nathalie Guerra-Aleman
• Gustavo Guerra, MD

• Pediatrics Physician in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2009; 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.