Pediatric Intensivist Group LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

PEDIATRIC INTENSIVIST GROUP LLC

Practice address

1700 S 23Rd St
Fort Pierce, FL 34950-4803

Phone

(720) 530-9100

NPI assigned

Apr 12, 2012

Organization subpart

No

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

Authorized official

Name

Warren Stowell

Title

VP Physician Services, HCA

Phone

(954) 767-5716

Specialties & licenses 2

Addresses

Other names 1

• Pediatric Intensivist Group- Lawnwood Doing business as

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

{
    "created_epoch": "1334188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334188800000",
    "number": "1659638849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 JFK DR STE A",
            "city": "ATLANTIS",
            "state": "FL",
            "postal_code": "334626634",
            "telephone_number": "954-767-5716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 S 23RD ST",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349504803",
            "telephone_number": "720-530-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC INTENSIVIST GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-12",
        "last_updated": "2012-04-12",
        "status": "A",
        "authorized_official_last_name": "STOWELL",
        "authorized_official_first_name": "WARREN",
        "authorized_official_title_or_position": "VP PHYSICIAN SERVICES, HCA",
        "authorized_official_telephone_number": "954-767-5716"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2080P0203X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric Intensivist Group- Lawnwood",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chelsea Paulinise
• Renee M Payne, PHLEBOTOMIST
• Edward Vincent Pearsaul
• Pediatric Alternative Treatment Care, Housing & Evaluation Services
• Pediatric Alternative Treatment Care, Housing & Evaluation Services
• Pediatrix Medical Group of Florida Inc
• Pediatrix Medical Group of Florida Inc
• Edward W Pelote, M.D.
• Marcus Pelt I
• Marybeth Pemberton, RNC

• Pediatrics Physician in Fort Pierce, FL
• Providers in Fort Pierce, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2012; 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.