NPIMap

Organization Active NPI

Tara Littlejohn Gonzales MD - Arbor Pediatrics

  • Primary Care Clinic/Center
  • Pensacola, FL
National Provider Identifier
1669689121
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
ANT3306292 Issued in FL
Legal business name
TARA LITTLEJOHN GONZALES MD - ARBOR PEDIATRICS
Practice address
4220 N Davis Hwy # a-200
Pensacola, FL 32503-2752
Phone
(850) 477-5475
NPI assigned
May 16, 2007
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
Dr. Tara Littlejohn Gonzales, M.DNPI 1528122199
Title
MD
Phone
(850) 477-5475

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X ANT3306292 FL Primary

Addresses

Primary practice location

4220 N Davis Hwy # a-200
Pensacola, FL 32503-2752

Mailing address

7530 Treasure St
Navarre, FL 32566-7875
Phone (850) 936-8083

National Provider Directory

National Provider Directory
Tax ID family
Dysart Unified School District107 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 10

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Locations

4220 N Davis Hwy
#A200
Pensacola, FL 32503
Phone (850) 477-5475

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669689121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7530 TREASURE ST",
            "city": "NAVARRE",
            "state": "FL",
            "postal_code": "325667875",
            "telephone_number": "850-936-8083",
            "fax_number": "850-936-8083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4220 N DAVIS HWY # A-200",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032752",
            "telephone_number": "850-477-5475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARA LITTLEJOHN GONZALES MD - ARBOR PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GONZALES",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "LITTLEJOHN",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "850-477-5475",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ANT3306292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, 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.