NPIMap

Organization Active NPI

Ellenton Pediatrics PA

  • Pediatrics Physician
  • Ellenton, FL
National Provider Identifier
1306017231
Registry record updated Nov 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME100713 Issued in FL
Legal business name
ELLENTON PEDIATRICS PA
Practice address
7915 US Highway 301 N
Suite 102
Ellenton, FL 34222-3531
Phone
(941) 723-7877
Fax
(941) 723-7844
NPI assigned
Mar 19, 2008
Last updated
Nov 13, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2008

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

Authorized official

Name
Cristian Chiritescu, MDNPI 1427157429
Title
Owner
Phone
(941) 723-7877

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X ME100713 FL Primary

Addresses

Primary practice location

7915 US Highway 301 N
Suite 102
Ellenton, FL 34222-3531

Mailing address

7915 US Highway 301 N Ste 102
Ellenton, FL 34222-3532
Phone (941) 723-7877

National Provider Directory

National Provider Directory

Locations

7915 US Highway 301 N
Ste 102
Ellenton, FL 34222
Phone (941) 721-1900

8425 US Highway 301 N
Parrish, FL 34219
Phone (941) 723-7877

Practitioners & affiliated clinicians

Practitioners 5

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": "1205884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226534400000",
    "number": "1306017231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7915 US HIGHWAY 301 N STE 102",
            "city": "ELLENTON",
            "state": "FL",
            "postal_code": "342223532",
            "telephone_number": "941-723-7877",
            "fax_number": "941-723-7844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7915 US HIGHWAY 301 N",
            "address_2": "SUITE 102",
            "city": "ELLENTON",
            "state": "FL",
            "postal_code": "342223531",
            "telephone_number": "941-723-7877",
            "fax_number": "941-723-7844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLENTON PEDIATRICS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-19",
        "last_updated": "2008-11-13",
        "status": "A",
        "authorized_official_last_name": "CHIRITESCU",
        "authorized_official_first_name": "CRISTIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-723-7877",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME100713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2008; 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.