NPIMap

Organization Active NPI

Pediatrics Alliance LLC

  • Pediatrics Physician
  • Key West, FL
National Provider Identifier
1235472622
Registry record updated Apr 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
PEDIATRICS ALLIANCE LLC
Practice address
1111 12TH St
Ste 311
Key West, FL 33040-4088
Phone
(305) 295-6700
Fax
(305) 295-6600
NPI assigned
Apr 3, 2013
Last updated
Apr 4, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2013

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

Authorized official

Name
Theresa Jex
Title
Billing Manager
Phone
(877) 817-6017

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X NU Primary

Addresses

Primary practice location

1111 12TH St
Ste 311
Key West, FL 33040-4088

Mailing address

1111 12TH St
Ste 311
Key West, FL 33040-4088
Phone (305) 295-6700

National Provider Directory

National Provider Directory
Tax ID family
Pediatrics Alliance LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1364947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365033600000",
    "number": "1235472622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 12TH ST",
            "address_2": "STE 311",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "330404088",
            "telephone_number": "305-295-6700",
            "fax_number": "305-295-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 12TH ST",
            "address_2": "STE 311",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "330404088",
            "telephone_number": "305-295-6700",
            "fax_number": "305-295-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRICS ALLIANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-03",
        "last_updated": "2013-04-04",
        "status": "A",
        "authorized_official_last_name": "JEX",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "877-817-6017"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Key West, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.