NPIMap

Organization Active NPI

Emerald Coast Pediatrics P.a.

  • Pediatrics Physician
  • Milton, FL
National Provider Identifier
1427144153
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME55036 Issued in FL
Legal business name
EMERALD COAST PEDIATRICS P.A.
Practice address
5834 Berryhill Rd
Milton, FL 32570-8275
Phone
(850) 623-5437
Fax
(850) 626-7803
NPI assigned
Oct 4, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. John A Vanostenbridge, M.D.NPI 1225123912
Title
President
Phone
(850) 623-5437

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208000000X ME55036 FL Primary

Addresses

Primary practice location

5834 Berryhill Rd
Milton, FL 32570-8275

Mailing address

5834 Berryhill Rd
Milton, FL 32570-8275
Phone (850) 623-5437

National Provider Directory

National Provider Directory
Tax ID family
Emerald Coast Pediatrics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427144153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5834 BERRYHILL RD",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "325708275",
            "telephone_number": "850-623-5437",
            "fax_number": "850-626-7803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5834 BERRYHILL RD",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "325708275",
            "telephone_number": "850-623-5437",
            "fax_number": "850-626-7803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERALD COAST PEDIATRICS P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VANOSTENBRIDGE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-623-5437",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME55036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.