Total Pediatric Healthcare

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

ME72163 Issued in FL

Legal business name

TOTAL PEDIATRIC HEALTHCARE

Practice address

203 Kingsway Rd
Ste a
Brandon, FL 33510-4679

Phone

(813) 655-5106

NPI assigned

Dec 8, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Stewart Aubrey Grant, M.D.NPI 1497772412

Title

Owner

Phone

(813) 655-5106

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Stewart A Grant, M.D.

  • Pediatrics Physician
  • Brandon, FL
  • NPI 1497772412
  NPD (past) Authorized official

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

{
    "created_epoch": "1323302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323648000000",
    "number": "1639447352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16765 FISHHAWK BLVD # 314",
            "city": "LITHIA",
            "state": "FL",
            "postal_code": "335473860",
            "telephone_number": "813-655-5106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 KINGSWAY RD",
            "address_2": "STE A",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335104679",
            "telephone_number": "813-655-5106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL PEDIATRIC HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-08",
        "last_updated": "2011-12-12",
        "status": "A",
        "authorized_official_last_name": "GRANT",
        "authorized_official_first_name": "STEWART",
        "authorized_official_middle_name": "AUBREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-655-5106",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "ME72163",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "252632800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mayri Torres
• Neysa A Torrisi, OTR
• Total Health Consulting, Inc.
• Total Imaging-Parsons LLC
• Total Imaging-Parsons LLC
• Total Spine Institute PLLC
• Touchstone Therapeutics LLC
• Oluwashola Toussaint, LCSW
• Alexandra Towell
• Tower Imaging LLC

• All providers in Brandon, FL
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.