NPIMap

Organization Active NPI

Pompano ER Pediatrics LLC

  • Pediatric Emergency Medicine (Pediatrics) Physician
  • Pompano Beach, FL
National Provider Identifier
1669475349
Registry record updated May 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Emergency Medicine (Pediatrics) PhysicianTaxonomy code 2080P0204X
License
ME39895 Issued in FL
Legal business name
POMPANO ER PEDIATRICS LLC
Practice address
201 E Sample Rd
Pompano ER Pediatrics
Pompano Beach, FL 33064-3502
Phone
(954) 768-6800
Fax
(919) 425-0478
NPI assigned
May 24, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2009

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

Authorized official

Name
Dr. Steven M Scott, MD
Title
President Ceo
Phone
(919) 425-1565

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Emergency Medicine (Pediatrics) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080P0204X ME39895 FL Primary

Addresses

Primary practice location

201 E Sample Rd
Pompano ER Pediatrics
Pompano Beach, FL 33064-3502

Mailing address

3114 Croasdaile Dr Ste 200
Pompano ER Pediatrics LLC
Durham, NC 27705-2508
Phone (919) 425-1565

Other identifiers 1

IdentifierTypeStateIssuer
269936200MedicaidFL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 12

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

NPI Registry JSON

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243382400000",
    "number": "1669475349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3114 CROASDAILE DR STE 200",
            "address_2": "POMPANO ER PEDIATRICS LLC",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277052508",
            "telephone_number": "919-425-1565",
            "fax_number": "919-425-0478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E SAMPLE RD",
            "address_2": "POMPANO ER PEDIATRICS",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330643502",
            "telephone_number": "954-768-6800",
            "fax_number": "919-425-0478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POMPANO ER PEDIATRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-24",
        "last_updated": "2009-05-27",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "919-425-1565",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080P0204X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Emergency Medicine",
            "state": "FL",
            "license": "ME39895",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "269936200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2009; 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.