Active NPI
Small World Pediatrics, P.a.
- Pediatrics Physician
- Wesley Chapel, FL
National Provider Identifier
1922286426
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME79938
- Legal business name
- SMALL WORLD PEDIATRICS, P.A.
- Practice address
- 2527 Windguard Cir
Ste 102
Wesley Chapel, FL 33544-7347 - Phone
- (813) 907-8001
- Fax
- (813) 907-5744
- NPI assigned
- Feb 6, 2008
- Last updated
- Sep 26, 2016
- 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
- Dr. Jose Daniel Jimenez MD, M.D.
- Title
- Owner Medical Director
- Phone
- (813) 907-8001
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME79938 | FL | Primary |
Addresses
Primary practice location
2527 Windguard Cir
Ste 102
Wesley Chapel, FL 33544-7347
Mailing address
PO Box 47957
Tampa, FL 33646
Phone (813) 907-8001
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 259225800 | Medicaid | FL | |
| 258877300 | Medicaid | FL |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D1017280 | Small World Pediatrics PA | Certificate of waiver | Sep 21, 2027 |
National Provider Directory
National Provider DirectoryLocations
2527 Windguard Cir
Ste 102
Wesley Chapel, FL 33544
Phone (813) 907-8001
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Pediatrics Physician
- Wesley Chapel, FL
- NPI 1730247602
-
- Pediatrics Physician
- Wesley Chapel, FL
- NPI 1629073259
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202256000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1474848000000",
"number": "1922286426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 47957",
"city": "TAMPA",
"state": "FL",
"postal_code": "33646",
"telephone_number": "813-907-8001",
"fax_number": "813-907-5744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2527 WINDGUARD CIR",
"address_2": "STE 102",
"city": "WESLEY CHAPEL",
"state": "FL",
"postal_code": "335447347",
"telephone_number": "813-907-8001",
"fax_number": "813-907-5744"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SMALL WORLD PEDIATRICS, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-06",
"last_updated": "2016-09-26",
"status": "A",
"authorized_official_last_name": "JIMENEZ MD",
"authorized_official_first_name": "JOSE",
"authorized_official_middle_name": "DANIEL",
"authorized_official_title_or_position": "OWNER MEDICAL DIRECTOR",
"authorized_official_telephone_number": "813-907-8001",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME79938",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "259225800",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "258877300",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wesley Chapel, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2016; 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.