Organization Active NPI

Here We Grow Pediatrics, P.a.

  • Pediatrics Physician
  • St Petersburg, FL
National Provider Identifier
1366431280
Registry record updated Sep 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME43809 Issued in FL
Legal business name
HERE WE GROW PEDIATRICS, P.A.
Practice address
6675 38TH Ave N
Suite 101
St Petersburg, FL 33710-1594
Phone
(727) 384-1217
Fax
(727) 384-3240
NPI assigned
Oct 14, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2012

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

Authorized official

Name
Dr. Elinor Miranda, MD
Title
Owner
Phone
(727) 384-1217

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X ME43809 FL Primary

Addresses

Primary practice location

6675 38TH Ave N
Suite 101
St Petersburg, FL 33710-1594

Mailing address

P.O. Box 530072
St Petersburg, FL 33710-5300
Phone (727) 384-1217

Other identifiers 3

IdentifierTypeStateIssuer
263948301MedicaidFL
068656500MedicaidFL
263948300MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1129248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348185600000",
    "number": "1366431280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 530072",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337105300",
            "telephone_number": "727-384-1217",
            "fax_number": "727-384-3240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6675 38TH AVE N",
            "address_2": "SUITE 101",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337101594",
            "telephone_number": "727-384-1217",
            "fax_number": "727-384-3240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERE WE GROW PEDIATRICS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-14",
        "last_updated": "2012-09-21",
        "status": "A",
        "authorized_official_last_name": "MIRANDA",
        "authorized_official_first_name": "ELINOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-384-1217",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME43809",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "263948301",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "068656500",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "263948300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2012; 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.