Active NPI
Compassion Pediatric Urgent Care LLC
- Pediatric Emergency Medicine (Emergency Medicine) Physician
- Orlando, FL
National Provider Identifier
1770824534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Emergency Medicine (Emergency Medicine) Physician
- Legal business name
- COMPASSION PEDIATRIC URGENT CARE LLC
- Practice address
- 4445 S Semoran Blvd Ste C
Orlando, FL 32822-2472 - Phone
- (407) 985-1905
- Fax
- (407) 985-1904
- NPI assigned
- Mar 4, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Lesley Kyle Bow, M.D.
- Title
- President
- Phone
- (407) 985-1905
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Emergency Medicine (Emergency Medicine) Physician | 207PP0204X | Primary | ||
| Urgent Care Clinic/Center | 261QU0200X | ME 110633 | FL | |
| Medical Physician Assistant | 363AM0700X | |||
| Family Nurse Practitioner | 363LF0000X | |||
| Pediatric Nurse Practitioner | 363LP0200X |
Addresses
Primary practice location
4445 S Semoran Blvd Ste C
Orlando, FL 32822-2472
Mailing address
4445 S. Semoran Boulevard Suite C
Orlando, FL 32822
Phone (407) 985-1905
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101675700 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
4442 Curry Ford Rd
Ste A
Orlando, FL 32812
Phone (407) 482-5855
4445 S Semoran Blvd
Ste C
Orlando, FL 32822
Phone (407) 203-8957
Interoperability endpoints
- https://api.platform.athenahealth.com/19495/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 1
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": "1362355200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1619049600000",
"number": "1770824534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4445 S. SEMORAN BOULEVARD SUITE C",
"city": "ORLANDO",
"state": "FL",
"postal_code": "32822",
"telephone_number": "407-985-1905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4445 S SEMORAN BLVD STE C",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328222472",
"telephone_number": "407-985-1905",
"fax_number": "407-985-1904"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMPASSION PEDIATRIC URGENT CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-03-04",
"last_updated": "2021-04-22",
"certification_date": "2021-04-22",
"status": "A",
"authorized_official_last_name": "BOW",
"authorized_official_first_name": "LESLEY",
"authorized_official_middle_name": "KYLE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "407-985-1905",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207PP0204X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine, Pediatric Emergency Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": "FL",
"license": "ME 110633",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant, Medical",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Pediatrics",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101675700",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
- Compass Home Health Care LLC
- Compassion Acupuncture
- Compassion Care First LLC
- Compassion Care Transportation LLC
- Compassion Home Care Services,Corp
- Compassion Pediatrics LLC
- Compassionate Behavioral Edge Solutions Corp.
- Compassionate Care Community Health Services LLC
- Compassionate Homes & Medical Supplies Services Corp
- Compassionate Touch Venipuncture Services Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.