Kenneth Mell Pittman, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME54502 Issued in FL

Practice address

5900 S John Young Pkwy
Orlando, FL 32839-3716

Phone

(407) 398-6470

Fax

(407) 894-6872

NPI assigned

Aug 12, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Night Lite Pediatric Center, LLC

  • Pediatrics Physician
  • Apopka, FL
  • NPI 1063172021
  NPD (past)
• Night Lite Pediatric Center, LLC

  • Pediatrics Physician
  • Apopka, FL
  • NPI 1407974579
  NPD (past)
• Night Lite Pediatric Center, LLC

  • Pediatrics Physician
  • Kissimmee, FL
  • NPI 1609536671
  NPD (past)
• Night Lite Pediatric Center, LLC

  • Pediatrics Physician
  • Port St Lucie, FL
  • NPI 1699435669
  NPD (past)
• Night Lite Pediatric Center, LLC

  • Pediatrics Physician
  • Jacksonville, FL
  • NPI 1780344754
  NPD (past)

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490140800000",
    "number": "1912909565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 S JOHN YOUNG PKWY",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328393716",
            "telephone_number": "407-398-6470",
            "fax_number": "407-894-6872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 S JOHN YOUNG PKWY",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328393716",
            "telephone_number": "407-398-6470",
            "fax_number": "407-894-6872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITTMAN",
        "first_name": "KENNETH",
        "middle_name": "MELL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-12",
        "last_updated": "2017-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME54502",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046970000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maritere Pita, RBT
• Maya Pitre
• Shawn Pitter, DO
• Diane Pittman, CRC
• Gregory Robert Pittman, M.D.
• Leighann Pittman
• Timothy Pittman
• Ashley Pitts
• Bethany Michelle Pitts, ARNP
• Blaine Bradley Pitts, M.D.

• Pediatrics Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2017; 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.