PM Pediatrics PA

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME94323 Issued in FL

Legal business name

PM PEDIATRICS PA

Practice address

1412 W Vine St
Kissimmee, FL 34741-4051

Phone

(407) 483-0672

Fax

(407) 348-5882

NPI assigned

May 14, 2007

Organization subpart

No

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

Authorized official

Name

Aziz Imtiaz, MDNPI 1023035987

Title

Physician

Phone

(407) 483-0672

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 8

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

• Aziz Imtiaz, MD

  • Pediatrics Physician
  • Kissimmee, FL
  • NPI 1023035987
  NPD (past) Authorized official
• Muhammad Iqbal Pathan, MD

  • Pediatrics Physician
  • Port Saint Lucie, FL
  • NPI 1811468416

  Single Specialty

  NPD (past)
• Sandra Rusnak, FNP

  • Nurse Practitioner
  • Clermont, FL
  • NPI 1699435164
  NPD (past)
• Mehar M Siddiqui, M.D.

  • Pediatrics Physician
  • Winter Haven, FL
  • NPI 1760525471
  NPD (past)
• Megan Tomsic

  • Family Nurse Practitioner
  • Orlando, FL
  • NPI 1306449897
  NPD (past)
• Edel W Valdes-Vega, M.D.

  • Pediatrics Physician
  • Kissimmee, FL
  • NPI 1245272384
  NPD (past)
• Marjorie Mabong Nwosu, M.D.

  • Pediatrics Physician
  • Mount Vernon, IL
  • NPI 1932164951
  NPD (past)
• Pankaj I. Shroff, M.D.

  • Pediatrics Physician
  • Milford, MA
  • NPI 1720007669
  NPD (past)

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432166400000",
    "number": "1508071374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1412 W VINE ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414051",
            "telephone_number": "407-483-0672",
            "fax_number": "407-348-5882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1412 W VINE ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414051",
            "telephone_number": "407-483-0672",
            "fax_number": "407-348-5882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PM PEDIATRICS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2015-05-21",
        "status": "A",
        "authorized_official_last_name": "IMTIAZ",
        "authorized_official_first_name": "AZIZ",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "407-483-0672",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME94323",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "274223300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Luis A Plaza, BEHAVIOR TECHNICIAN
• Pleasant Hill Family Chiropractic LLC
• Alma Pleitez
• Jaimie Plumey, FNP BC
• Katy Plutin
• Jill N Poffenbaugh, BSW
• Roberto Arturo Pohlenz-McBeath
• Poinciana Behavioral Health Clinic, Inc.
• Poinciana Chiropractic & Injury Center, PLLC
• Poinciana Healthcare Inc

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.