Active NPI
Howard M. Pelteson, M.D.
- Pediatrics Physician
- Maitland, FL
National Provider Identifier
1275522757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME44307
- Practice address
- 800 N Maitland Ave
Suite 102
Maitland, FL 32751-4489 - Phone
- (407) 660-7010
- Fax
- (407) 660-7051
- NPI assigned
- Oct 18, 2005
- Last updated
- Jul 18, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME44307 | FL | Primary |
Addresses
Primary practice location
800 N Maitland Ave
Suite 102
Maitland, FL 32751-4489
Mailing address
800 N Maitland Ave
Suite 102
Maitland, FL 32751-4489
Phone (407) 660-7010
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 045266100 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME44307 | FL | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374105600000",
"number": "1275522757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 N MAITLAND AVE",
"address_2": "SUITE 102",
"city": "MAITLAND",
"state": "FL",
"postal_code": "327514489",
"telephone_number": "407-660-7010",
"fax_number": "407-660-7051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 N MAITLAND AVE",
"address_2": "SUITE 102",
"city": "MAITLAND",
"state": "FL",
"postal_code": "327514489",
"telephone_number": "407-660-7010",
"fax_number": "407-660-7051"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PELTESON",
"first_name": "HOWARD",
"middle_name": "M.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-18",
"last_updated": "2013-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME44307",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "045266100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Maitland, FL
- Pediatric Dentistry of Central Florida, LLP (Pediatric Dentistry of Central Florida)
- Pediatrix Medical Group of Florida Inc
- Pediatrix Medical Group of Florida Inc
- Pedro T Oliveros Jr MD PA
- Trinity Pelayo
- Cindy Lynn Perdue, FNP-BC
- Jessica Perez Perez, MA
- Eddie Perez, DDS
- Lisa Marie Perez, ED.S.
- Melina Perez
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.