Theo L Meyer III ,CHTD Pediatrics

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

9198408 Issued in FL

Legal business name

THEO L MEYER III ,CHTD PEDIATRICS

Doing business as

Meyer Pediatrics

Practice address

1666 Mound St
Sarasota, FL 34236-7716

Phone

(941) 365-5898

NPI assigned

Jun 3, 2015

Last updated

Jun 3, 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

Ms. Kristin Silver

Title

Office Manager

Phone

(941) 365-5898

Specialties & licenses 1

Addresses

Other names 1

• MEYER PEDIATRICS Doing business as

Tax ID family

Meyer 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.

• Theo L Meyer III Pediatrics Chartered

  dba Meyer Pediatrics

  • Pediatrics Physician
  • Sarasota, FL
  • NPI 1780722595
  NPD tax ID

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

{
    "created_epoch": "1433289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433289600000",
    "number": "1427438654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1666 MOUND ST",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342367716",
            "telephone_number": "941-365-5898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1666 MOUND ST",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342367716",
            "telephone_number": "941-365-5898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THEO L MEYER III ,CHTD PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-03",
        "last_updated": "2015-06-03",
        "status": "A",
        "authorized_official_last_name": "SILVER",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "941-365-5898",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9198408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEYER PEDIATRICS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• The Roskamp Foundation Irrevocable Trust (Roskamp Institute)
• The Roskamp Foundation Irrv (Roskamp Memory Clinic)
• The Roskamp Institute, Inc
• The Shoreline Clinic, LLC
• The Weston Group of Florida Inc
• Theo L Meyer III Pediatrics Chartered (Meyer Pediatrics)
• Theodore Simon DC PA (Simon Clinic of Chiropractic)
• Dean Theophilopoulos, M.D.
• Therafit LLC
• Therapeutic Collaborative, LLC

• Family Nurse Practitioner in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.