Pediatric Associates of Tampa Bay, LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

PEDIATRIC ASSOCIATES OF TAMPA BAY, LLC

Practice address

901 E Bloomingdale Ave # 501
Brandon, FL 33511-8118

Phone

(941) 909-7003

Fax

(941) 209-6386

NPI assigned

Jun 9, 2020

Last updated

Jun 9, 2020By the provider in NPPES

Organization subpart

Yes

Parent organization

SALTZMAN, TANIS, PITTELL, LEVIN AND JACOBSON, LLCAs reported in NPPES

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

Authorized official

Name

Patricia Corsiatto

Title

Director Credentialing

Phone

(954) 965-7331

Specialties & licenses 1

Addresses

Tax ID family

Pediatric Associates of Tampa Bay LLC5 organizations share this tax ID, including this one

Part of

Saltzman Tanis Pittell Levin and Jacobson

Other organizations with this tax ID 4

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

• Pediatric Associates of Tampa Bay, Inc

  • Pediatrics Physician
  • Riverview, FL
  • NPI 1649618299
  NPD tax ID
• Pediatric Associates of Tampa Bay, LLC

  • Pediatrics Physician
  • Tampa, FL
  • NPI 1356904924
  NPD tax ID
• Pediatric Associates of Tampa Bay, LLC

  • Pediatrics Physician
  • Plantation, FL
  • NPI 1861735383
  NPD tax ID
• Pediatric Associates of Tampa Bay, LLC

  • Pediatrics Physician
  • Trinity, FL
  • NPI 1912345497
  NPD tax ID

Locations

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.

• Lisa Anne Franceschini Wildcatt, MD

  • Pediatrics Physician
  • Brandon, FL
  • NPI 1447315171
  NPD

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

{
    "created_epoch": "1591660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591660800000",
    "number": "1245855063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 S PINE ISLAND RD STE 800",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333243923",
            "telephone_number": "954-967-6400",
            "fax_number": "954-965-7339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 E BLOOMINGDALE AVE # 501",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335118118",
            "telephone_number": "941-909-7003",
            "fax_number": "941-209-6386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC ASSOCIATES OF TAMPA BAY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SALTZMAN, TANIS, PITTELL, LEVIN AND JACOBSON, LLC",
        "enumeration_date": "2020-06-09",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A",
        "authorized_official_last_name": "CORSIATTO",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "DIRECTOR CREDENTIALING",
        "authorized_official_telephone_number": "954-965-7331"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pearl Rose Wellness, Inc.
• Madison Raye Smith Pearson, DO
• Patricia Loretta Pearson
• Deanna Pecina
• Pediatria Healthcare, LLC (Aveanna Healthcare)
• Pediatric Dental Center
• Pediatric Dentistry of Brandon PA
• Pediatric Health Care Alliance, PA
• Pediatric Therapy Services, Inc.
• Pediatrix Medical Group of Florida Inc

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2020; 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.