LITTLE PINE PEDIATRICS, PLLC (NPI# 1043761539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043761539 |
| Entity Type | Organization |
| Organization Name | LITTLE PINE PEDIATRICS, PLLC |
| Practice Address |
194 Ne Hancock Ave Madison FL 32340-2546 |
| Practice Telephone | 8502532275 |
| Practice Fax Number | 8502532280 |
| Mailing Telephone | 8502532275 |
| Mailing Fax Number | 8502532280 |
| Enumeration Date | 2016-10-19 |
| Last Update Date | 2017-01-13 |
| Authorized Official Name | RONALD EMERICK (OWNER/MEDICAL DIRECTOR) |
| Authorized Official Telephone | 8502532275 |
| Authorized Official Credential | D.O |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 001165802 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811447824 | Little Pine Pediatrics, Pllc | Clinic/Center | 1702 S Jefferson St, Perry, FL 32348-5611 | 2016-10-13 |
| 1376784702 | Little Pine Pediatrics, Pllc | Pediatrics | 1702 S Jefferson St, Perry, FL 32348-5611 | 2009-03-16 |
| Street Address |
194 NE HANCOCK AVE |
| City | MADISON |
| State | FL |
| Zip Code | 32340-2546 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760428288 | William R. Primas | Family Medicine | 194 Ne Hancock Ave, Madison, FL 32340-2546 | 2006-06-22 |
| 1952804247 | Melissa Nash | Nurse Practitioner | 194 Ne Hancock Ave, Madison, FL 32340-2546 | 2018-03-13 |
| 1851844112 | Sarah Garrett | Nurse Practitioner | 194 Ne Hancock Ave, Madison, FL 32340-2546 | 2016-08-03 |
| 1497007553 | Little Pine Pediatrics Pllc | Clinic/Center | 194 Ne Hancock Ave, Madison, FL 32340-2546 | 2012-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376016980 | Annie Laura Dyke | Registered Nurse | 213 Sw Third Ave, Madison, FL 32340 | 2019-01-07 |
| 1730698051 | Judith Khristian Sever-johnson | Registered Nurse | 218 Sw Third Avenue, Madison, FL 32340 | 2017-09-29 |
| 1265800437 | Maria Anchondo | Dentist | Ave. De La Raza #4722, Suite 3, Juarez, CHIHUAHUA 32340 | 2015-09-04 |
| 1508106063 | Family First Wellness Clinic, LLC | Family Medicine | 486 Sw Rutledge Street, Madison, FL 32340 | 2013-02-20 |
| 1306032073 | North Florida Pharmacy of Madison Inc. | Durable Medical Equipment & Medical Supplies | 139 Sw Macon St, Madison, FL 32340 | 2007-09-17 |
| 1295949444 | Roderick K Shaw IIi Dmd Pa | Dentist | 255 Ne Duval Ave, Madison, FL 32340 | 2007-05-09 |
| 1124159728 | Duramed Medical Services | Physiological Laboratory | 289 Sw Range Ave, Ste D, Madison, FL 32340 | 2007-03-08 |
| 1861595514 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 407 East Base St, Madison, FL 32340 | 2006-09-07 |
| 1194701862 | Mos LLC | Nurse Practitioner | 256 Sw Washington Ave, Madison, FL 32340 | 2005-12-15 |
| 1699248203 | Katelynn Mae Croft | Licensed Practical Nurse | 213 Sw Third Ave, Madison, FL 32340 | 2019-01-07 |
| Find all providers in zip 32340 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174122097 | Whole You Acupuncture and Health Consulting LLC | Clinic/Center | 3330 University Ave Ste 205, Madison, WI 53705-2167 | 2020-10-21 |
| 1386283471 | E A Mccleskey, Do, LLC | Clinic/Center | 103 Intercom Dr Ste B, Madison, AL 35758-2641 | 2020-01-06 |
| 1598248106 | Granite City Clinic Corp | Clinic/Center | 602 Farrish St, Madison, IL 62060-1567 | 2018-09-10 |
| 1669918843 | All About You Healthcare LLC | Clinic/Center | 342 E Old Hickory Blvd, Madison, TN 37115-3937 | 2017-01-12 |
| 1548713332 | Wellness for Life | Clinic/Center | 630 Broadway St Ste 2a, Madison, IN 47250-3310 | 2016-07-27 |
| 1871863050 | Patrick J Oneill M.d., P.C. | Clinic/Center | 104 Spenryn Dr, Madison, AL 35758-1890 | 2012-01-05 |
| 1003191867 | Gluckstadt Special Care Clinic | Clinic/Center | 1716 Highway 51 Ste M, Madison, MS 39110-5020 | 2011-10-12 |
| 1104071836 | W Kevin Britt M.d. LLC | Clinic/Center | 1801 Clifty Drive, Madison, IN 47250-1627 | 2008-11-21 |
| 1366057986 | Avalon Family Care LLC | Clinic/Center | 540 Hughes Rd Ste 4, Madison, AL 35758-8959 | 2020-09-10 |
| 1447868757 | Advent Health LLC | Clinic/Center | 1230 Slaughter Rd Ste C, Madison, AL 35758-5901 | 2020-07-22 |
| Find all providers in MADISON | ||||
Please comment or provide details below to improve the information on LITTLE PINE PEDIATRICS, PLLC.
| 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.