Active NPI
Michelle S Page MD PA
Doing business as Pace Pediatrics
- Pediatrics Physician
- Pace, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michelle S. Page, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 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
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D1052836 | Michelle S Page MD PA | Certificate of waiver | Apr 5, 2028 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pediatrics Physician
- Pace, FL
- NPI 1053369991
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.