Active NPI
Pediatric Hospitalist & Sedation Services PA
- Pediatric Critical Care Medicine Physician
- Loxahatchee, FL
National Provider Identifier
1902128606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Critical Care Medicine Physician
- Legal business name
- PEDIATRIC HOSPITALIST & SEDATION SERVICES PA
- Practice address
- 13001 Southern Blvd
Loxahatchee, FL 33470-9203 - Phone
- (561) 791-0283
- NPI assigned
- Feb 22, 2010
- 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
- Sudhira Kulatunga, MD
- Title
- President
- Phone
- (561) 791-0283
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Critical Care Medicine Physician | 2080P0203X | Primary |
Addresses
Primary practice location
13001 Southern Blvd
Loxahatchee, FL 33470-9203
Mailing address
PO Box 1224
Loxahatchee, FL 33470-1224
Phone (561) 791-0283
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266796800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1266796800000",
"number": "1902128606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1224",
"city": "LOXAHATCHEE",
"state": "FL",
"postal_code": "334701224",
"telephone_number": "561-791-0283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13001 SOUTHERN BLVD",
"city": "LOXAHATCHEE",
"state": "FL",
"postal_code": "334709203",
"telephone_number": "561-791-0283"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEDIATRIC HOSPITALIST & SEDATION SERVICES PA",
"organizational_subpart": "NO",
"enumeration_date": "2010-02-22",
"last_updated": "2010-02-22",
"status": "A",
"authorized_official_last_name": "KULATUNGA",
"authorized_official_first_name": "SUDHIRA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "561-791-0283",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2080P0203X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Loxahatchee, FL
- Pbcgme/Palms West Hospital
- Pbcgme/Palms West Hospital
- Pbcgme/Palms West Hospital
- Peace of Mind Recovery LLC
- Anthony L. Pearson-Shaver, MD
- Pediatrix Medical Group of Florida Inc
- Pediatrix Medical Group of Florida Inc
- Pediatrix Medical Group of Florida Inc
- Pediatrix Medical Group of Florida Inc
- Olimpia Pellon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.