Pelican Pediatrics LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

29944 Issued in SC

Legal business name

PELICAN PEDIATRICS LLC

Practice address

452 Folly Rd
Charleston, SC 29412

Phone

(843) 795-3344

NPI assigned

Jun 5, 2014

Last updated

Mar 28, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Eliza Varadi, MDNPI 1255535191

Title

Pediatrician

Phone

(843) 795-3344

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

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.

• Eliza Agrest Varadi, MD

  • Pediatrics Physician
  • Charleston, SC
  • NPI 1255535191
  NPD Authorized official
• Lillian Fong, MD

  • Pediatrics Physician
  • Loris, SC
  • NPI 1720547706
  NPD (past)
• Namrita Malhi, MD

  • Pediatrics Physician
  • Charleston, SC
  • NPI 1396869707
  NPD (past)
• Desiree Maireen Rodriguez Espada, MD

  • Pediatrics Physician
  • Augusta, GA
  • NPI 1851828727
  NPD (past)

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

{
    "created_epoch": "1401926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553731200000",
    "number": "1306259544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "452 FOLLY RD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294122641",
            "telephone_number": "843-795-3344",
            "fax_number": "843-795-3143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "452 FOLLY RD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "29412",
            "telephone_number": "843-795-3344"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "354 Folly Rd",
            "address_2": "Suite 5",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294122594",
            "country_code": "US",
            "telephone_number": "843-795-3344",
            "fax_number": "843-795-3143",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "354 Folly Rd",
            "address_2": "Suite 5",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294122594",
            "country_code": "US",
            "telephone_number": "843-795-3344",
            "fax_number": "843-795-3143",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PELICAN PEDIATRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-05",
        "last_updated": "2019-03-28",
        "status": "A",
        "authorized_official_last_name": "VARADI",
        "authorized_official_first_name": "ELIZA",
        "authorized_official_title_or_position": "PEDIATRICIAN",
        "authorized_official_telephone_number": "843-795-3344",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "SC",
            "license": "29944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blair L Peeples, OT
• Lance Robert Peeples, MPT
• Sarah Nicole Peglow, PA-C
• Daravuth Khem Pel, MD
• Christine M Pelic, MD
• Regan Therese Pelicano
• Gregory Pelkey
• Patricia Lee Pelletier, RN, ANP
• Jalidsa Pellicier, M.D.
• Jennifer Lee Peltier, ATC

• Pediatrics Physician in Charleston, SC
• Providers in Charleston, SC by specialty
• Pediatrics Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.