PM PEDIATRIC PLACE, MD PA (NPI# 1023334844) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023334844 |
| Entity Type | Organization |
| Organization Name | PM PEDIATRIC PLACE, MD PA |
| Practice Address |
1338 W Fletcher Ave Tampa FL 33612-3366 |
| Practice Telephone | 8132658940 |
| Practice Fax Number | 8132641677 |
| Mailing Telephone | 8132658940 |
| Mailing Fax Number | 8132641677 |
| Enumeration Date | 2010-04-19 |
| Last Update Date | 2010-04-19 |
| Authorized Official Name | MICHELLE JOHNSONS (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 8132642288 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0204X |
Pediatrics Specialization: Pediatric Emergency Medicine |
ME62751 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
1338 W FLETCHER AVE |
| City | TAMPA |
| State | FL |
| Zip Code | 33612-3366 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659431484 | Michele A Johnson-towson | Pediatrics | 1338 W Fletcher Ave, Tampa, FL 33612-3366 | 2006-12-11 |
| 1538603014 | Sonal Patel Abulaban | Nurse Practitioner | 1338 W Fletcher Ave, Tampa, FL 33612-3366 | 2016-12-19 |
| 1144779927 | Staci Harris | Nurse Practitioner | 1338 W Fletcher Ave, Tampa, FL 33612-3366 | 2016-09-22 |
| 1356779250 | Pm Pediatrics | Pediatrics | 1338 W Fletcher Ave, Tampa, FL 33612-3366 | 2013-10-31 |
| 1033492236 | Michele Johnson-towson Md Pa | Pediatrics | 1338 W Fletcher Ave, Tampa, FL 33612-3366 | 2011-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689286767 | Daniel Jimenez | Physical Therapist | 13000 Bruce B Downs Blvd, Tampa, Fl, Tampa, FL 33612 | 2020-08-19 |
| 1700426830 | Taz Stacy | Behavior Technician | 2701 University Square Drive, Tampa, FL 33612 | 2020-01-07 |
| 1841853215 | Eric Austen Keeler | Student in an Organized Health Care Education/Training Program | 12901 Bruce B Downs Blvd, Mdc5, Tampa, FL 33612 | 2019-04-20 |
| 1346700242 | Caitlyn Victoria Cartwright | Student in an Organized Health Care Education/Training Program | 12901 Bruce B. Downs Blvd., Mdc5, Tampa, FL 33612 | 2019-03-25 |
| 1720552953 | Marijo Bilitski | Student in an Organized Health Care Education/Training Program | 12901 Bruce B Downs Blvd # Blvd5, Tampa, FL 33612 | 2019-01-22 |
| 1790259190 | Belkis Aleman | Nurse Practitioner | 205 E Busch Blvd, Tampa, FL 33612 | 2019-01-18 |
| 1811469133 | Stephanie Stegner | Physician Assistant | 12901 Bruce B Downs Blvd Mdc 5, Tampa, FL 33612 | 2018-12-27 |
| 1053889857 | Alysia Heather Siegel | Psychologist | 1300 Bruce B. Downs Boulevard, 116b, Tampa, FL 33612 | 2018-11-09 |
| 1295202489 | Daisy Baby Pulinilkumkalayil | Nurse Practitioner | 1426 W. Bush Blvd. Suite #105, Suite #105, Tampa, FL 33612 | 2018-10-26 |
| 1649745258 | Rachel Rene Shelton | Specialist/Technologist | Orthopedics and Sports Medicine, 13330 Usf Laurel Drive, Tampa, FL 33612 | 2018-10-10 |
| Find all providers in zip 33612 | ||||
| Taxonomy Code | 2080P0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Emergency Medicine |
| A pediatrician who has special qualifications to manage emergencies in infants and children. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285990515 | Nadya Telt | Pediatrics | 2502 W Saint Isabel St Ste B, Tampa, FL 33607 | 2012-04-11 |
| 1194946228 | Thomas Joseph Abrunzo | Pediatrics | 2706 Fountain Boulevard, Tampa, FL 33609-4010 | 2007-05-02 |
| 1356779250 | Pm Pediatrics | Pediatrics | 1338 W Fletcher Ave, Tampa, FL 33612-3366 | 2013-10-31 |
| 1700814324 | Neil C. Reinhardt | Pediatrics | 2 Columbia Dr, Tampa, FL 33606-3508 | 2006-06-30 |
| 1962430165 | Earl R Dixon | Pediatrics | 2 Columbia Dr, Tampa, FL 33606-3508 | 2006-06-28 |
| 1992746879 | After Hours Pediatrics, Inc. | Pediatrics | 3901 Coconut Palm Dr Ste 120, Tampa, FL 33619 | 2006-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801047352 | Efren A Salinero | Pediatrics | 1014 W Harvard St, Orlando, FL 32804-5208 | 2008-10-02 |
| 1730356007 | Lazaro C. Daud | Pediatrics | 5955 Ponce De Leon, Coral Gables, FL 33146 | 2008-05-14 |
| 1508893124 | Mary Deffner Patterson | Pediatrics | 1600 Sw Archer Rd # 100186, Gainesville, FL 32610-3003 | 2006-06-27 |
| 1689637589 | Jean Ernst Jean Baptiste | Pediatrics | 7970 Summerlin Lakes Dr Ste 200, Ft Myers, FL 33907 | 2006-04-11 |
| 1669475349 | Pompano Er Pediatrics LLC | Pediatrics | 201 E Sample Rd, Pompano Er Pediatrics, Pompano Beach, FL 33064-3502 | 2005-05-24 |
| 1700351863 | Kidz Medical Srv | Pediatrics | 9200 Bonita Beach Rd Se Ste 106, Bonita Springs, FL 34135-4254 | 2018-10-04 |
| 1629571062 | Michelle Villanueva Gutierrez | Pediatrics | 8900 N Kendall Dr, Miami, FL 33176-2118 | 2018-03-12 |
| 1912361122 | Nicole Saizon Hardy | Pediatrics | 1329 Sw 16th St, Room 5270, Gainesville, FL 32610-0186 | 2016-04-13 |
| 1407218613 | Angelica Monique Johnson | Pediatrics | 5955 Ponce De Leon Blvd, Coral Gables, FL 33146-2423 | 2016-03-26 |
| 1548622764 | Jasmine Nebhrajani | Pediatrics | 5955 Ponce De Leon Blvd, Coral Gables, FL 33146-2423 | 2016-03-26 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.