PM Pediatrics

Primary specialty

Pediatric Emergency Medicine (Pediatrics) PhysicianTaxonomy code 2080P0204X

License

ME62751 Issued in FL

Legal business name

PM PEDIATRICS

Practice address

1338 W Fletcher Ave
Tampa, FL 33612-3366

Phone

(813) 264-2288

Fax

(813) 264-1677

NPI assigned

Oct 31, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Michele Johnson, M.D.

Title

Owner/MD

Phone

(813) 264-2288

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

PM Pediatric Place MD PA2 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.

• PM Pediatric Place, MD PA

  • Pediatric Emergency Medicine (Pediatrics) Physician
  • Tampa, FL
  • NPI 1023334844
  NPD tax ID

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

{
    "created_epoch": "1383177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446076800000",
    "number": "1356779250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1338 W FLETCHER AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336123366",
            "telephone_number": "813-264-2288",
            "fax_number": "813-264-1677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1338 W FLETCHER AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336123366",
            "telephone_number": "813-264-2288",
            "fax_number": "813-264-1677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PM PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-31",
        "last_updated": "2015-10-29",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "OWNER/MD",
        "authorized_official_telephone_number": "813-264-2288",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2080P0204X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Emergency Medicine",
            "state": "FL",
            "license": "ME62751",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015478400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Plum Therapy and Wellness LLC
• Megan Plum, DO
• Grant Plumley, PTA
• Miyosia Plummer, LMHC
• PM Pediatric Place, MD PA
• PM Transit LLC
• Pmsi Inc
• Brandy Nichole Poblete-Scaglione
• Sarah-Jessica P. Poblete, MD
• Michael A Poch, MD

• Pediatric Emergency Medicine (Pediatrics) Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Pediatric Emergency Medicine (Pediatrics) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2015; 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.