Peds in a Pod Pediatrics LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

H0061035 Issued in MD

Legal business name

PEDS IN A POD PEDIATRICS LLC

Practice address

1105 N Point Blvd
Suite 306
Baltimore, MD 21224-3419

Phone

(410) 285-5437

Fax

(410) 285-7333

NPI assigned

Jul 30, 2010

Last updated

Nov 5, 2014By 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

Stacey L. Eadie, D.O.NPI 1700853249

Title

Owner

Phone

(443) 421-6966

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Tax ID family

Peds in a Pod Pediatrics LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Peds in a Pod Pediatrics LLC

  • Durable Medical Equipment & Medical Supplies
  • Baltimore, MD
  • NPI 1750729687
  NPD tax ID

Practitioners 1

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.

• Stacey Laurine Eadie, D.O.

  • Pediatrics Physician
  • Baltimore, MD
  • NPI 1700853249
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1280448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415145600000",
    "number": "1336453463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15444",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212200444",
            "telephone_number": "410-285-5437",
            "fax_number": "410-285-7333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 N POINT BLVD",
            "address_2": "SUITE 306",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212243419",
            "telephone_number": "410-285-5437",
            "fax_number": "410-285-7333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDS IN A POD PEDIATRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-30",
        "last_updated": "2014-11-05",
        "status": "A",
        "authorized_official_last_name": "EADIE",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-421-6966",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "H0061035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "CMT7SL",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "X026 0001",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pediatric Services of America, LLC (Aveanna Healthcare)
• Pediatrix Medical Group of the Mid-Atlantic PC
• Pediatrix of Maryland PA
• Pedirite Medical MD LLC
• Brian Pedro
• Peds in a Pod Pediatrics LLC
• Peds Tele OT (Children's Therapy Group)
• Peds Tele OT (Children's Therapy Group)
• Peds Urocare
• Peds Urocare

• Pediatrics Physician in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Pediatrics Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.