Organization Active NPI

Michelle S Page MD PA

Doing business as Pace Pediatrics

  • Pediatrics Physician
  • Pace, FL
National Provider Identifier
1407018138
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
MICHELLE S PAGE MD PA
Doing business as
Pace Pediatrics
Practice address
4288 Woodbine Rd
Pace, FL 32571-8755
Phone
(850) 995-8600
Fax
(850) 995-9070
NPI assigned
Jun 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2008

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

Authorized official

Name
Michelle S. Page, MDNPI 1053369991
Title
President
Phone
(850) 995-8600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

4288 Woodbine Rd
Pace, FL 32571-8755

Mailing address

4288 Woodbine Rd
Pace, FL 32571-8755
Phone (850) 995-8600

Other names 1

  • PACE PEDIATRICS Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D1052836Michelle S Page MD PA4288 Woodbine Rd, Pace, FL 32571Certificate of waiverApr 5, 2028

National Provider Directory

National Provider Directory

Locations

4288 Woodbine Rd
Pace, FL 32571
Phone (850) 995-8600

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1407018138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4288 WOODBINE RD",
            "city": "PACE",
            "state": "FL",
            "postal_code": "325718755",
            "telephone_number": "850-995-8600",
            "fax_number": "850-995-9070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4288 WOODBINE RD",
            "city": "PACE",
            "state": "FL",
            "postal_code": "325718755",
            "telephone_number": "850-995-8600",
            "fax_number": "850-995-9070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE S PAGE MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-25",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "PAGE",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-995-8600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PACE PEDIATRICS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pace, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; 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.