NPIMap

Organization Active NPI

Baptist Pediatrics

  • Pediatrics Physician
  • Ponte Vedra Beach, FL
National Provider Identifier
1912160144
Registry record updated Jul 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
BAPTIST PEDIATRICS
Practice address
520 A1A N
Suite 102
Ponte Vedra Beach, FL 32082-5212
Phone
(904) 280-1225
Fax
(904) 285-4522
NPI assigned
Jul 8, 2008
Last updated
Jul 8, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2008

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

Authorized official

Name
Earl Mally
Title
Sr. Vice President
Phone
(904) 376-4275

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X Primary

Addresses

Primary practice location

520 A1A N
Suite 102
Ponte Vedra Beach, FL 32082-5212

Mailing address

520 A1A N
Suite 102
Ponte Vedra Beach, FL 32082-5212
Phone (904) 280-1225

National Provider Directory

National Provider Directory
Tax ID family
Baptist Pediatrics3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215475200000",
    "number": "1912160144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 A1A N",
            "address_2": "SUITE 102",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320825212",
            "telephone_number": "904-280-1225",
            "fax_number": "904-285-4522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 A1A N",
            "address_2": "SUITE 102",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320825212",
            "telephone_number": "904-280-1225",
            "fax_number": "904-285-4522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAPTIST PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-08",
        "last_updated": "2008-07-08",
        "status": "A",
        "authorized_official_last_name": "MALLY",
        "authorized_official_first_name": "EARL",
        "authorized_official_title_or_position": "SR. VICE PRESIDENT",
        "authorized_official_telephone_number": "904-376-4275"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponte Vedra Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2008; 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.