Citrus County Pediatrics, Inc.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

ME68113 Issued in FL

Legal business name

CITRUS COUNTY PEDIATRICS, INC.

Practice address

547 SE Fort Island TRL
Suite C
Crystal River, FL 34429-8905

Phone

(352) 794-7391

Fax

(352) 794-7394

NPI assigned

Feb 11, 2015

Last updated

Feb 11, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Marcy Lee Howard, M.D.

Title

Owner/ President

Phone

(352) 794-7391

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1423612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423612800000",
    "number": "1790176857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "547 SE FORT ISLAND TRL",
            "address_2": "SUITE C",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344298905",
            "telephone_number": "352-794-7391",
            "fax_number": "352-794-7394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "547 SE FORT ISLAND TRL",
            "address_2": "SUITE C",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344298905",
            "telephone_number": "352-794-7391",
            "fax_number": "352-794-7394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITRUS COUNTY PEDIATRICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-11",
        "last_updated": "2015-02-11",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "MARCY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER/ PRESIDENT",
        "authorized_official_telephone_number": "352-794-7391",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ME68113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• CHI-Kwong NG, M.D.P.a.
• CHS Services 1, LLC (Gentiva)
• Kathryn Lianne Churchill
• Kayla Roberta Ciccotto, APRN
• Citrus Chiropractic Group Inc.
• Citrus County Rural Health Inc
• Citrus County Rural Health Inc
• Citrus Endoscopy and Surgery
• Citrus Hma Inc (Seven Rivers Regional Medical Center Rehab Unit)
• Citrus Hma Inc (Seven Rivers Home Care)

• Primary Care Clinic/Center in Crystal River, FL
• Providers in Crystal River, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2015; 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.