Pediatric Prime Care

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

66915 Issued in FL

Legal business name

PEDIATRIC PRIME CARE

Practice address

1801 SE Hillmoor Drive
Suite A105
Port Saint Lucie, FL 34952-7545

Phone

(772) 335-9949

Fax

(772) 335-9719

NPI assigned

Aug 21, 2014

Last updated

Aug 21, 2014By 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. Prithvi Raj Sawh, M.D.NPI 1811994742

Title

Ceo

Phone

(772) 335-9949

Specialties & licenses 1

Addresses

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 1

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.

• Prithvi Raj Sawh, M.D.

  • Pediatrics Physician
  • Port St Lucie, FL
  • NPI 1811994742
  NPD (past) Authorized official

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

{
    "created_epoch": "1408579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408579200000",
    "number": "1881093276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 SE HILLMOOR DRIVE",
            "address_2": "SUITE A105",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349527545",
            "telephone_number": "772-335-9949",
            "fax_number": "772-335-9719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 SE HILLMOOR DRIVE",
            "address_2": "SUITE A105",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349527545",
            "telephone_number": "772-335-9949",
            "fax_number": "772-335-9719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC PRIME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-21",
        "last_updated": "2014-08-21",
        "status": "A",
        "authorized_official_last_name": "SAWH",
        "authorized_official_first_name": "PRITHVI",
        "authorized_official_middle_name": "RAJ",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "772-335-9949",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "66915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel R Pawlenko, FNP-BC
• Nedjie Payoute, MSW
• Michael Pearce
• Alicia Danielle Pearson
• Pediatric Mobility, Inc
• Pediatrix Medical Group of Florida Inc
• Carol Patricia Peirce, MS, RD, LD/N
• Richard J Pena -Ariet, MD
• Kamaria Penado
• Magnelys Penate Suarez

• Pediatrics Physician in Port Saint Lucie, FL
• Providers in Port Saint Lucie, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2014; 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.