NPIMap

Organization Active NPI

Celebration Pediatrics PA

  • Pediatrics Physician
  • Celebration, FL
National Provider Identifier
1326320524
Registry record updated Aug 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
CELEBRATION PEDIATRICS PA
Practice address
1530 Celebration Blvd
Suite 301
Celebration, FL 34747-5164
Phone
(407) 566-9700
Fax
(877) 534-5105
NPI assigned
Sep 13, 2011
Last updated
Aug 22, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2016

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

Authorized official

Name
David Marcantel, MD
Title
President/Physician
Phone
(407) 566-9700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X Primary

Addresses

Primary practice location

1530 Celebration Blvd
Suite 301
Celebration, FL 34747-5164

Mailing address

1530 Celebration Blvd
Suite 301
Celebration, FL 34747-5164
Phone (407) 566-9700

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2022410Celebration Pediatrics PA1530 Celebration Blvd, Ste 301, Celebration, FL 34747Certificate of waiverMar 31, 2027

National Provider Directory

National Provider Directory

Locations

1530 Celebration Blvd
Ste 301
Kissimmee, FL 34747
Phone (407) 566-9700

Practitioners & affiliated clinicians

Practitioners 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1315872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471824000000",
    "number": "1326320524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 CELEBRATION BLVD",
            "address_2": "SUITE 301",
            "city": "CELEBRATION",
            "state": "FL",
            "postal_code": "347475164",
            "telephone_number": "407-566-9700",
            "fax_number": "877-534-5105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 CELEBRATION BLVD",
            "address_2": "SUITE 301",
            "city": "CELEBRATION",
            "state": "FL",
            "postal_code": "347475164",
            "telephone_number": "407-566-9700",
            "fax_number": "877-534-5105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CELEBRATION PEDIATRICS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-13",
        "last_updated": "2016-08-22",
        "status": "A",
        "authorized_official_last_name": "MARCANTEL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICIAN",
        "authorized_official_telephone_number": "407-566-9700",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Celebration, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2016; 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.