NPIMap

Organization Active NPI

Pediatric Otolaryngology Head and Neck Surgeyr Assoc. PA

  • Specialist
  • St Petersburg, FL
National Provider Identifier
1639285513
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME0056321 Issued in FL
Legal business name
PEDIATRIC OTOLARYNGOLOGY HEAD AND NECK SURGEYR ASSOC. PA
Practice address
801 6TH St S
Childrens Health Center
St Petersburg, FL 33701-4816
Phone
(727) 767-4305
Fax
(727) 767-4174
NPI assigned
Aug 22, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Peter W Orobello, MD
Title
President
Phone
(727) 767-4305

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME0056321 FL Primary

Addresses

Primary practice location

801 6TH St S
Childrens Health Center
St Petersburg, FL 33701-4816

Mailing address

801 6TH St S
Childrens Health Center
St Petersburg, FL 33701-4816
Phone (727) 767-4305

National Provider Directory

National Provider Directory

Locations

2560 Gulf To Bay Blvd
Ste 200
Clearwater, FL 33765

5911 N Honore Ave
Ste 116
Sarasota, FL 34243
Phone (727) 329-5400

601 5th St S
Ste C740
St Petersburg, FL 33701
Phone (727) 329-5400

8950 Dr Martin Luther King Jr St N
Ste 150
St Petersburg, FL 33702
Phone (727) 329-5400

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639285513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 6TH ST S",
            "address_2": "CHILDRENS HEALTH CENTER",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337014816",
            "telephone_number": "727-767-4305",
            "fax_number": "727-767-4174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 6TH ST S",
            "address_2": "CHILDRENS HEALTH CENTER",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337014816",
            "telephone_number": "727-767-4305",
            "fax_number": "727-767-4174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC OTOLARYNGOLOGY HEAD AND NECK SURGEYR ASSOC. PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OROBELLO",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-767-4305",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0056321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.