Organization Active NPI

Michelle E. Kolb, M.D., P.a.

Doing business as My Pediatrics

  • Pediatrics Physician
  • Tampa, FL
National Provider Identifier
1780651638
Registry record updated Jun 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
601629 Issued in FL
Legal business name
MICHELLE E. KOLB, M.D., P.A.
Doing business as
My Pediatrics
Practice address
18055 Highwoods Preserve Pkwy
Tampa, FL 33647-1761
Phone
(813) 631-7788
Fax
(813) 866-9588
NPI assigned
Feb 28, 2006
Last updated
Jun 4, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2009

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

Authorized official

Name
Michelle E. Kolb, M.D.
Title
Owner
Phone
(813) 631-7788

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 601629 FL Primary

Addresses

Primary practice location

18055 Highwoods Preserve Pkwy
Tampa, FL 33647-1761

Mailing address

18055 Highwoods Preserve Pkwy
Tampa, FL 33647-1761
Phone (813) 631-7788

Other names 1

  • My Pediatrics Doing business as

National Provider Directory

National Provider Directory

Locations

18055 Highwoods Preserve Pkwy
Tampa, FL 33647
Phone (813) 631-7788

NPI Registry JSON

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244073600000",
    "number": "1780651638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18055 HIGHWOODS PRESERVE PKWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336471761",
            "telephone_number": "813-631-7788",
            "fax_number": "813-866-9588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18055 HIGHWOODS PRESERVE PKWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336471761",
            "telephone_number": "813-631-7788",
            "fax_number": "813-866-9588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE E. KOLB, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-28",
        "last_updated": "2009-06-04",
        "status": "A",
        "authorized_official_last_name": "KOLB",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-631-7788",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "601629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "My Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.