Pediatric Emergency Medicine Department

Primary specialty

Children's HospitalTaxonomy code 282NC2000X

License

MD.31618 Issued in AL

Legal business name

PEDIATRIC EMERGENCY MEDICINE DEPARTMENT

Practice address

10000 SW 52ND Ave Apt 96
Gainesville, FL 32608-8335

Phone

(813) 240-2610

NPI assigned

Apr 12, 2012

Last updated

Apr 12, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ann KlasnerNPI 1376530154

Title

Director

Phone

(205) 939-9587

Specialties & licenses 1

Addresses

Tax ID family

Children's Health System Emergency Department2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• The Children's Hospital of Alabama

  dba Children's Health System Emergency Department

  • Emergency Medicine Physician
  • Birmingham, AL
  • NPI 1538156047
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ann E Klasner, MD

  • Pediatric Emergency Medicine (Pediatrics) Physician
  • Birmingham, AL
  • NPI 1376530154
  Authorized official Same address or phone

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

{
    "created_epoch": "1334188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334188800000",
    "number": "1205193455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10000 SW 52ND AVE APT 96",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326088335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 SW 52ND AVE APT 96",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326088335",
            "telephone_number": "813-240-2610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC EMERGENCY MEDICINE DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-12",
        "last_updated": "2012-04-12",
        "status": "A",
        "authorized_official_last_name": "KLASNER",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "205-939-9587"
    },
    "taxonomies": [
        {
            "code": "282NC2000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Children",
            "state": "AL",
            "license": "MD.31618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Ann Peck
• Rachel Peck, DPT
• Nicole Christine Peckham, PA-C, RDN
• Cynthia Kathleen Pedersen, LCSW
• Jaime Pedersen
• Pediatric Health Choice
• Pediatric Health Choice
• Pediatric Physical Therapy Kids on the Move
• Pediatrics & Family Medicine of Buena Vista , LLC
• Pediatrix Medical Group of Florida, Inc.

• Children's Hospital in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Children's Hospital in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2012; 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.