Pediatric Rheumatology Associates LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

PEDIATRIC RHEUMATOLOGY ASSOCIATES LLC

Practice address

12591 Sorrento Rd Ste a
Pensacola, FL 32507-8754

Phone

(850) 262-8645

Fax

(850) 262-8647

NPI assigned

Feb 12, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Adam Kuettel

Title

Ceo

Phone

(850) 262-8645

Specialties & licenses 5

Addresses

Electronic endpoints 1

Locations

Practitioners 1

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

• Lauren Elizabeth Duensing, M.D.

  • Pediatric Rheumatology Physician
  • Mobile, AL
  • NPI 1457640344
  NPD

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

{
    "created_epoch": "1581465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602028800000",
    "number": "1467085902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29939 ONO BLVD",
            "city": "ORANGE BEACH",
            "state": "AL",
            "postal_code": "365613634",
            "telephone_number": "501-231-4367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12591 SORRENTO RD STE A",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325078754",
            "telephone_number": "850-262-8645",
            "fax_number": "850-262-8647"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "851 E I65 Service Rd S Ste 1050",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366063114",
            "country_code": "US",
            "telephone_number": "850-262-8645",
            "fax_number": "850-262-8647",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PEDIATRIC RHEUMATOLOGY ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-12",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A",
        "authorized_official_last_name": "KUETTEL",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "850-262-8645",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "staff@peds-rheum.com",
            "affiliation": "N",
            "endpointDescription": "Information Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "12591 Sorrento Rd Ste A",
            "city": "Pensacola",
            "state": "FL",
            "country_code": "US",
            "postal_code": "325078754",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Giuliana Pecchia, ARNP
• Pecilaty Vehicles, Inc.
• Teresa Anne Peck, CRNP
• Pediatric Associates PA
• Pediatric Associates PA
• Pediatric Services of America, LLC
• Pediatric Services of America, LLC
• Pediatric Therapies of Northwest Florida, LLC
• Pediatrix Medical Group
• Pediatrix Medical Group of Florida Inc

• Medical Specialty Clinic/Center in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Medical Specialty Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.