NPIMap

Organization Active NPI

Pediatric Neurology Associates

  • Neurology with Special Qualifications in Child Neurology Physician
  • St Petersburg, FL
National Provider Identifier
1275568859
Registry record updated Aug 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
Legal business name
PEDIATRIC NEUROLOGY ASSOCIATES
Practice address
625 6TH Ave S
Suite 405
St Petersburg, FL 33701-4662
Phone
(727) 498-8994
Fax
(727) 498-8982
NPI assigned
Jul 11, 2006
Last updated
Aug 31, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
FLORIDA PEDIATRICS ASSOCIATESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 31, 2016

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

Authorized official

Name
Mimi Casadonte
Title
Office Administrator
Phone
(727) 498-8994

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X NU Primary

Addresses

Primary practice location

625 6TH Ave S
Suite 405
St Petersburg, FL 33701-4662

Mailing address

625 6TH Ave S
Suite 405
St Petersburg, FL 33701-4662
Phone (727) 498-8994

National Provider Directory

National Provider Directory
Part of
Florida Pediatric Assoc

Locations

880 6th St S
Ste 430
St Petersburg, FL 33701
Phone (727) 767-8477

Practitioners & affiliated clinicians

Practitioners 6

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": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472601600000",
    "number": "1275568859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 6TH AVE S",
            "address_2": "SUITE 405",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337014662",
            "telephone_number": "727-498-8994",
            "fax_number": "727-498-8982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 6TH AVE S",
            "address_2": "SUITE 405",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337014662",
            "telephone_number": "727-498-8994",
            "fax_number": "727-498-8982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC NEUROLOGY ASSOCIATES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FLORIDA PEDIATRICS ASSOCIATES",
        "enumeration_date": "2006-07-11",
        "last_updated": "2016-08-31",
        "status": "A",
        "authorized_official_last_name": "CASADONTE",
        "authorized_official_first_name": "MIMI",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "727-498-8994"
    },
    "taxonomies": [
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2016; 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.