Tarpon Springs Pediatrics LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

0055862 Issued in FL

Legal business name

TARPON SPRINGS PEDIATRICS LLC

Practice address

1007 E Boyer St
Tarpon Springs, FL 34689-5501

Phone

(727) 772-5982

Fax

(727) 772-0693

NPI assigned

Feb 3, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Carlos A Hidalgo, M.D.NPI 1154407393

Title

Owner

Phone

(727) 772-5982

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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

• Carlos A Hidalgo Jr., MD

  • Pediatrics Physician
  • Tarpon Springs, FL
  • NPI 1154407393
  NPD (past) Authorized official
• Ashmita Guragain

  • Family Nurse Practitioner
  • Tarpon Springs, FL
  • NPI 1407662646
  NPD (past)

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

{
    "created_epoch": "1486080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486080000000",
    "number": "1871031393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 E BOYER ST",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346895501",
            "telephone_number": "727-772-5982",
            "fax_number": "727-772-0693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 E BOYER ST",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346895501",
            "telephone_number": "727-772-5982",
            "fax_number": "727-772-0693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARPON SPRINGS PEDIATRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-03",
        "last_updated": "2017-02-03",
        "status": "A",
        "authorized_official_last_name": "HIDALGO",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-772-5982",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "0055862",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "260930400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tarpon Springs Hospital Foundation Inc
• Tarpon Springs Hospital Foundation Inc
• Tarpon Springs Hospital Foundation Inc
• Tarpon Springs Hospital Foundation Inc
• Tarpon Springs Pathology Associates PA
• Tarpon Total Health Care Inc.
• Karl Engels Tavera Rosario, SA-C
• Susan E Teall
• The Arc Tampa Bay, Inc.
• The Home W/ Guiding Hands

• Pediatrics Physician in Tarpon Springs, FL
• Providers in Tarpon Springs, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.