NPIMap

Organization Active NPI

Anitha Jagadish M.D, PA

Doing business as Tender Care Pediatrics

  • Pediatrics Physician
  • Port Saint Lucie, FL
National Provider Identifier
1952538720
Registry record updated Oct 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME80942 Issued in FL
Legal business name
ANITHA JAGADISH M.D, PA
Doing business as
Tender Care Pediatrics
Practice address
2115 SE Lennard Rd
Port Saint Lucie, FL 34952-4742
Phone
(772) 335-1812
Fax
(772) 335-1825
NPI assigned
Jun 18, 2009
Last updated
Oct 14, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2011

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

Authorized official

Name
Dr. Anitha Jagadish, M.DNPI 1982763850
Title
President
Phone
(772) 335-1812

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME80942 FL Primary

Addresses

Primary practice location

2115 SE Lennard Rd
Port Saint Lucie, FL 34952-4742

Mailing address

2115 SE Lennard Rd
Port Saint Lucie, FL 34952-4742
Phone (772) 335-1812

Other identifiers 2

IdentifierTypeStateIssuer
260740900MedicaidFL
001280300MedicaidFL

Other names 1

  • Tender Care Pediatrics Doing business as

National Provider Directory

National Provider Directory

Locations

2115 SE Lennard Rd
Port St Lucie, FL 34952
Phone (772) 335-1812

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/e7eee8ee-10a0-491b-8be6-a8be12c18675/

Practitioners & affiliated clinicians

Practitioners 6

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": "1245283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318550400000",
    "number": "1952538720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 SE LENNARD RD",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349524742",
            "telephone_number": "772-335-1812",
            "fax_number": "772-335-1825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 SE LENNARD RD",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349524742",
            "telephone_number": "772-335-1812",
            "fax_number": "772-335-1825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANITHA JAGADISH M.D, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-18",
        "last_updated": "2011-10-14",
        "status": "A",
        "authorized_official_last_name": "JAGADISH",
        "authorized_official_first_name": "ANITHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-335-1812",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME80942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "260740900",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001280300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tender Care Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port Saint Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2011; 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.