Organization Active NPI

Small World Pediatrics, P.a.

  • Pediatrics Physician
  • Wesley Chapel, FL
National Provider Identifier
1922286426
Registry record updated Sep 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME79938 Issued in FL
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, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2016

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
259225800MedicaidFL
258877300MedicaidFL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D1017280Small World Pediatrics PA2527 Windguard Cir Ste 102, Wesley Chapel, FL 33544Certificate of waiverSep 21, 2027

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.