Pinellaspediatrics

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

603261 Issued in FL

Legal business name

PINELLASPEDIATRICS

Practice address

1105 S Fort Harrison Avenue
Clearwater, FL 33756-3907

Phone

(727) 461-3163

Fax

(717) 461-4037

NPI assigned

Jun 27, 2011

Last updated

Jun 27, 2011By 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

Lisa Jones

Title

Office Manager

Phone

(727) 461-3163

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1309132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309132800000",
    "number": "1376839522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 S FORT HARRISON AVE",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563907",
            "telephone_number": "727-461-3163",
            "fax_number": "717-461-4037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 S FORT HARRISON AVENUE",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563907",
            "telephone_number": "727-461-3163",
            "fax_number": "717-461-4037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINELLASPEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-27",
        "last_updated": "2011-06-27",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "727-461-3163"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "603261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pinellas Infectious Disease Physicians PA
• Pinellas Physiatry Associates PA
• Pinellas Professional Home Care,Inc.
• Pinellas Radiation Oncology Associates
• Pinellas Therapy LLC
• Kerri Piniero, MASTERS
• Brian Pink, MD
• Frank Eric Pink, DDS, MS
• Amber Pinkham, LCSW
• Pinnacle DME, Inc

• Pediatrics Physician in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2011; 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.