Fsu Pediatric Residency Program

Primary specialty

Children's HospitalTaxonomy code 282NC2000X

License

TRN15533 Issued in FL

Legal business name

FSU PEDIATRIC RESIDENCY PROGRAM

Practice address

5151 N 9TH Ave
6TH Floor Nemours Childrens Clinic
Pensacola, FL 32504-8721

Phone

(850) 416-7658

NPI assigned

May 2, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Pooja Kashyap, M.D.

Title

Resident/Pgy3

Phone

(630) 229-8770

Specialties & licenses 1

Addresses

Tax ID family

Florida State University2 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.

• Florida State University

  • Children's Hospital
  • Pensacola, FL
  • NPI 1821244989
  NPD tax ID

Locations

Practitioners 1

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

• Faryal Munir

  • Pediatric Hematology & Oncology Physician
  • Phoenix, AZ
  • NPI 1407342595
  NPD (past)

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

{
    "created_epoch": "1304294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304294400000",
    "number": "1558652040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8955 ABBINGTON DR",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325345347",
            "telephone_number": "630-229-8770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5151 N 9TH AVE",
            "address_2": "6TH FLOOR NEMOURS CHILDRENS CLINIC",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325048721",
            "telephone_number": "850-416-7658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FSU PEDIATRIC RESIDENCY PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-02",
        "last_updated": "2011-05-02",
        "status": "A",
        "authorized_official_last_name": "KASHYAP",
        "authorized_official_first_name": "POOJA",
        "authorized_official_title_or_position": "RESIDENT/PGY3",
        "authorized_official_telephone_number": "630-229-8770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "282NC2000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Children",
            "state": "FL",
            "license": "TRN15533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristopher Fross, LMHC
• James D Frost, MD
• FRPS Group LLC
• Madilyn Frye
• Melanie Elise Fryou, LCSW
• Fsu Pediatric Residency Program
• Emilie L Fugate, APRN
• Alexa Fugina, MD
• Fuller Rehabilitation and Consulting Services, Inc. (Fuller Rehabilitation)
• Abigail Fuller

• Children's Hospital in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Children's Hospital in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2011; 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.