Kidzmd, LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

KIDZMD, LLC

Practice address

5979 Vineland Rd Ste 111
Orlando, FL 32819-7855

Phone

(407) 492-2338

NPI assigned

Mar 8, 2021

Organization subpart

No

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

Authorized official

Name

Christine Chan-Ragazzo, MDNPI 1235199464

Title

Owner/Physician

Phone

(407) 492-2338

Specialties & licenses 1

Addresses

Other identifiers 1

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

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christine Chan-Ragazzo, M.D.

  • Pediatrics Physician
  • Orlando, FL
  • NPI 1235199464
  NPD Authorized official

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

{
    "created_epoch": "1615161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643241600000",
    "number": "1386239663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7234 STILL POND LN",
            "city": "WINDERMERE",
            "state": "FL",
            "postal_code": "347860147",
            "telephone_number": "407-492-2338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5979 VINELAND RD STE 111",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328197855",
            "telephone_number": "407-492-2338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDZMD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-08",
        "last_updated": "2022-01-27",
        "certification_date": "2022-01-27",
        "status": "A",
        "authorized_official_last_name": "CHAN-RAGAZZO",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "407-492-2338",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "280511100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kids-Medical
• Kidskidneydoc LLC
• Kidsville Pediatrics IV, P.a.
• Kidsville Pediatrics VI, PA After Hours Clinic
• Kidz Choice Pediatric Dentistry of Central Florida
• Sara Louise Kiedinger, CCC-SLP
• Allison Kiefer, DNP, CRNA
• Carolyn Ann Kiefer, PT
• Daniel George Kiefer, MD
• Jurij Kiefer, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2022; 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.