LITTLE PINE PEDIATRICS, PLLC (NPI# 1376784702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376784702 |
| Entity Type | Organization |
| Organization Name | LITTLE PINE PEDIATRICS, PLLC |
| Practice Address |
1702 S Jefferson St Perry FL 32348-5611 |
| Practice Telephone | 8555775437 |
| Practice Fax Number | 8508382140 |
| Mailing Telephone | 8555775437 |
| Mailing Fax Number | 8508382140 |
| Enumeration Date | 2009-03-16 |
| Last Update Date | 2016-02-08 |
| Authorized Official Name | DR. RONALD EMERICK (OWNER) |
| Authorized Official Telephone | 8555775437 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | OS9746 | FL | Allopathic & Osteopathic Physicians |
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043761539 | Little Pine Pediatrics, Pllc | Clinic/Center | 194 Ne Hancock Ave, Madison, FL 32340-2546 | 2016-10-19 |
| 1811447824 | Little Pine Pediatrics, Pllc | Clinic/Center | 1702 S Jefferson St, Perry, FL 32348-5611 | 2016-10-13 |
| Street Address |
1702 S JEFFERSON ST |
| City | PERRY |
| State | FL |
| Zip Code | 32348-5611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205894425 | Ronald Emerick Jr. | Pediatrics | 1702 S Jefferson St, Perry, FL 32348-5611 | 2006-05-04 |
| 1407314289 | Felicia Thomas | Nurse Practitioner | 1702 S Jefferson St, Perry, FL 32348-5611 | 2019-03-11 |
| 1902362759 | Melissa Harris | Nurse Practitioner | 1702 S Jefferson St, Perry, FL 32348-5611 | 2019-02-18 |
| 1811447824 | Little Pine Pediatrics, Pllc | Clinic/Center | 1702 S Jefferson St, Perry, FL 32348-5611 | 2016-10-13 |
| 1205203742 | Brittany Hobbs Bishop | Nurse Practitioner | 1702 S Jefferson St, Perry, FL 32348-5611 | 2015-09-01 |
| 1043624000 | Jessica Anne Raines | Nurse Practitioner | 1702 S Jefferson St, Perry, FL 32348-5611 | 2014-06-18 |
| 1356645097 | Linda Gail Berry | Nurse Practitioner | 1702 S Jefferson St, Perry, FL 32348-5611 | 2011-01-10 |
| 1790008191 | Marcia B Bass | Nurse Practitioner | 1702 S Jefferson St, Perry, FL 32348 | 2010-03-12 |
| 1669700811 | Venette Pierre | Pediatrics | 1702 S Jefferson St, Perry, FL 32348-5611 | 2009-11-30 |
| 1376787580 | Angela B Culpepper | Nurse Practitioner | 1702 S Jefferson St, Perry, FL 32348-5611 | 2009-05-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811328099 | Ashley Wambolt Mccormick | Registered Nurse | 1706 S. Jefferson, Perry, FL 32348 | 2013-12-12 |
| 1053692293 | Rocky Mountain Holdings LLC | Ambulance | 301 Industrial Park Dr, Perry, FL 32348 | 2011-09-01 |
| 1285959775 | Darrin G Ward | Acupuncturist | 1708 S. Byron Butler Pkwy, Perry, FL 32348 | 2010-03-29 |
| 1568569937 | Apalachee Center Inc | Community/Behavioral Health | 1421 Old Dixie Highway, Perry, FL 32348 | 2006-09-20 |
| 1376645648 | Wilburn Hiram Peacock Jr. | Pharmacist | 2057 W Byron Butler Pkwy, Perry, FL 32348 | 2006-09-05 |
| 1932202272 | Horace Michael Knowles | Pharmacist | 2057 W. Byron Butler Pkwy, Perry, FL 32348 | 2006-09-05 |
| 1881110047 | Dorothy Tucker | Nurse's Aide | 1106 North Ave, Perry, FL 32348 | 2017-08-19 |
| 1780027946 | Patricia Ngozi Kalu | Nurse Practitioner | 8501 Hampton Springs Rd, Perry, FL 32348 | 2013-04-08 |
| 1760722771 | Disc Village, Inc. | Community/Behavioral Health | 1421 Old Dixie Highway, Perry, FL 32348 | 2013-02-28 |
| 1558681684 | Tallahassee Memorial Healthcare Inc | Internal Medicine | 555 North Byron Butler Parkway, Tmh Physician Partners, Perry, Perry, FL 32348-2315 | 2010-06-11 |
| Find all providers in zip 32348 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225097967 | Doctors Memorial Hospital | Clinic/Center | 1706 S Jefferson St, Perry, FL 32348-5611 | 2006-03-21 |
| 1720561939 | Stillwater Medical Center Authority | Clinic/Center | 505 N 14th St, Perry, OK 73077-5021 | 2018-09-13 |
| 1831342880 | Premier Medical Pediatrics Clinic Inc | Clinic/Center | 315 E Ash St, Perry, FL 32347-2029 | 2008-11-03 |
| 1306920103 | State University of Iowa | Clinic/Center | 616 10th St, Perry, IA 50220-2221 | 2006-10-25 |
| 1790728657 | Doctors Memorial Hospital Inc | Clinic/Center | 402 E Ash St, Perry, FL 32347-2105 | 2006-06-14 |
| 1457399982 | Doctors Memorial Hospital Inc | Clinic/Center | 555 N Byron Butler Pkwy, Perry, FL 32347-2315 | 2006-06-04 |
| 1639117237 | Doctors Memorial Hospital Inc | Clinic/Center | 1211 N Center St, Perry, FL 32347-2037 | 2006-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952917015 | Bonifay Rural Health Cinic | Clinic/Center | 2910 Hospital Dr Ste A, Bonifay, FL 32425-4268 | 2020-09-23 |
| 1013540947 | Clark Clinic Inc | Clinic/Center | 12620 Curley St, San Antonio, FL 33576-8136 | 2020-02-19 |
| 1023506532 | Sacred Heart Hospital On The Gulf | Clinic/Center | 805 Highway 22, Wewahitchka, FL 32465-3237 | 2018-04-30 |
| 1639693492 | Clark Clinic Inc | Clinic/Center | 910 W Myers Blvd, Mascotte, FL 34753-9748 | 2017-08-02 |
| 1194173419 | Holmes County Hospital Corporation | Clinic/Center | 5556 Brown St, Graceville, FL 32440-1007 | 2016-05-26 |
| 1568826873 | Healthvine Medical Group Inc | Clinic/Center | 725 Benton Ave, Brooksville, FL 34601-3213 | 2016-04-12 |
| 1164808465 | Family and After Hours Care, LLC | Clinic/Center | 1413 Nw 23rd Ave, Chiefland, FL 32626 | 2015-08-10 |
| 1891171914 | High Springs Pediatrics LLC. | Clinic/Center | 14900 Nw 140th St, Alachua, FL 32615-6276 | 2015-07-31 |
| 1982963344 | Sacred Heart Hospital On The Gulf | Clinic/Center | 55 Avenue 'e', Apalachicola, FL 32320-1763 | 2012-05-04 |
| 1760776900 | Sonnis Pediatrics, Inc. | Clinic/Center | 1125 S 6th Ave, Wauchula, FL 33873-3350 | 2011-06-06 |
| 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.