Gainesville Pediatric Medicine, PA

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME78807 Issued in FL

Legal business name

GAINESVILLE PEDIATRIC MEDICINE, PA

Practice address

1131 NW 64 Terrace
Suite B
Gainesville, FL 32605-6600

Phone

(352) 332-9940

Fax

(352) 332-9939

NPI assigned

Dec 8, 2008

Organization subpart

No

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

Authorized official

Name

Valerie Numssen, MDNPI 1245336650

Title

President

Phone

(352) 332-9940

Specialties & licenses 2

Addresses

Other identifiers 3

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Valerie Numssen, MD

  • Pediatrics Physician
  • Gainesville, FL
  • NPI 1245336650
  NPD (past) Authorized official
• Romeo E Castillo, M.D.

  • Pediatrics Physician
  • Gainesville, FL
  • NPI 1336106137
  NPD (past)

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

{
    "created_epoch": "1228694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229644800000",
    "number": "1447495338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 NW 64 TERRACE",
            "address_2": "SUITE B",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326056600",
            "telephone_number": "352-332-9940",
            "fax_number": "352-332-9939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 NW 64 TERRACE",
            "address_2": "SUITE B",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326056600",
            "telephone_number": "352-332-9940",
            "fax_number": "352-332-9939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAINESVILLE PEDIATRIC MEDICINE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-08",
        "last_updated": "2008-12-19",
        "status": "A",
        "authorized_official_last_name": "NUMSSEN",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-332-9940",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME78807",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME79357",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "032026900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "2680",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "032025100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gainesville Orthotic Therapy
• Gainesville Otolaryngology GRP
• Gainesville Outpatient Anesthesia PA
• Gainesville Pathology Group
• Gainesville Pediatric Associates Inc
• Gainesville Peer Respite, Inc.
• Gainesville Physical Therapy & Wellness LLC
• Gainesville Physical Therapy and Rehabilitation Services Inc
• Gainesville Physicians LLC
• Gainesville Physicians LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2008; 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.