Pediatric & Adolescent Health Associates, LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME115364 Issued in RI

Legal business name

PEDIATRIC & ADOLESCENT HEALTH ASSOCIATES, LLC

Practice address

3709 W Hamilton Ave Ste 4
Tampa, FL 33614-4015

Phone

(813) 515-7988

NPI assigned

Oct 13, 2014

Last updated

Sep 18, 2015By 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

Dr. Tabassum Shamim, M.D.NPI 1538185616

Title

Medical Director

Phone

(860) 874-8374

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Tabassum Shamim, MD

  • Pediatric Adolescent Medicine Physician
  • Tampa, FL
  • NPI 1538185616
  Authorized official Same address or phone

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

{
    "created_epoch": "1413158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442534400000",
    "number": "1407250996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 270663",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336880663",
            "telephone_number": "813-515-7988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3709 W HAMILTON AVE STE 4",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336144015",
            "telephone_number": "813-515-7988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC & ADOLESCENT HEALTH ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-13",
        "last_updated": "2015-09-18",
        "status": "A",
        "authorized_official_last_name": "SHAMIM",
        "authorized_official_first_name": "TABASSUM",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "860-874-8374",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "RI",
            "license": "ME115364",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010853700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maureen Elizabeth Peck, CRNA
• Ostile Foucault Peck, ARNP
• Carmen Peden, M.D.,PH.D.
• Marc C. Peden, MD
• Carolina Pedersen
• Pediatric Anesthesia PA
• Pediatric Associates of Tampa Bay, LLC
• Pediatric Cardiology Specialists PL
• Pediatric Dentistry of New Tampa
• Pediatric Endocrine Associates

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2015; 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.