HOMETOWN PEDIATRICS LLC (NPI# 1720531650) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720531650 |
| Entity Type | Organization |
| Organization Name | HOMETOWN PEDIATRICS LLC |
| Practice Address |
1400 N Us Highway 441 Suite 522 The Villages FL 32159-8975 |
| Mailing Address |
1020 Lake Sumter Lndg The Villages FL 32162-2699 |
| Practice Telephone | 3526748905 |
| Practice Fax Number | 3526748919 |
| Mailing Telephone | 3526748905 |
| Mailing Fax Number | 3526748919 |
| Enumeration Date | 2016-07-27 |
| Last Update Date | 2016-07-27 |
| Authorized Official Name | THOMAS MENICHINO (CEO OF MANAGING COMPANY) |
| Authorized Official Telephone | 3526748905 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | ME128166 | FL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669091120 | Hometown Pediatrics LLC | Pediatrics | 22136 Medical Village Drive, Athens, AL 35613 | 2020-04-14 |
| Street Address |
1400 N US HIGHWAY 441 SUITE 522 |
| City | THE VILLAGES |
| State | FL |
| Zip Code | 32159-8975 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215930334 | Robert Alan Skotnicki | Internal Medicine | 1400 N Us Highway 441, Suite 810, The Villages, FL 32159-8975 | 2005-05-23 |
| 1407390990 | Camus Medical Practice | Internal Medicine | 1400 N Us Highway 441, Bldg 900 Ste 904, The Villages, FL 32159-8975 | 2016-12-19 |
| 1134661309 | Advanced Orthopedics Institute, P.a. | Specialist | 1400 N Us Highway 441, Sharon Morse Medical Office Building, Suite 552, The Villages, FL 32159-8975 | 2016-11-04 |
| 1669830675 | Central Florida Premier Eye Associates | Non-Pharmacy Dispensing Site | 1400 N Us Highway 441, Suite 521, The Villages, FL 32159-8975 | 2016-02-04 |
| 1225415615 | Karen M Bolderman | Dietitian, Registered | 1400 N Us Highway 441, Suuite 810, The Villages, FL 32159-8975 | 2015-05-05 |
| 1164835906 | Florida Cancer Specialists & Research Institute, LLC | Internal Medicine | 1400 N Us Highway 441, Suite 924, The Villages, FL 32159-8975 | 2014-06-10 |
| 1003259946 | Martinez Cruz Medical Associates of The Villages LLC | Internal Medicine | 1400 N Us Highway 441, Bldg 920 Ste 922, The Villages, FL 32159-8975 | 2013-04-10 |
| 1720376551 | Tanya Nicole Cunningham | Massage Therapist | 1400 N Us Highway 441, Suite 530, The Villages, FL 32159-8975 | 2011-07-14 |
| 1851600126 | Daniel R. Spurrier, Md, Pa | Specialist | 1400 N Us Highway 441, Suite 538, The Villages, FL 32159-8975 | 2010-10-04 |
| 1467766949 | Caroline Anne Mathis | Nurse Practitioner | 1400 N Us Highway 441, Bldg 810, The Villages, FL 32159-8975 | 2010-07-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306451216 | Lindsey Porubcan | Physician Assistant | 990 South Us Highway 441/27, Lady Lake, FL 32159 | 2020-09-09 |
| 1073134979 | Michael Robert Frates | Dietitian, Registered | 900 Cr 466, Lady Lake, FL 32159 | 2020-05-01 |
| 1346800364 | Barbara Conrad | Social Worker | 906 Orchid Street, Lady Lake, FL 32159 | 2019-06-20 |
| 1962977165 | Curelogics Wound Care and Hyperbaric LLC | Registered Nurse | 809 County Road 466, Unit C-201, Lady Lake, FL 32159 | 2018-10-04 |
| 1346736907 | Caroline Butler | Physician Assistant | 805 E. Cr 466, Lady Lake, FL 32159 | 2018-07-06 |
| 1033609607 | Cyrus Immanuel Macalisang Doroy | Physical Therapist | 6340 County Rd 466, Suite 733, Lady Lake, FL 32159 | 2018-05-18 |
| 1962999680 | Sharma Institute of Pain Medicine | Physical Medicine & Rehabilitation | 1501 Us Hwy 441, Villages, FL 32159 | 2018-04-18 |
| 1538683198 | Cathleen Laurel Civiello | Psychologist | 929 H. Hwy 441, Suite 404, Lady Lake, FL 32159 | 2017-07-26 |
| 1649709015 | Adria Young | Optometrist | 801 Cr 466, Suite 102 Sunset Plaza, Lady Lake, FL 32159 | 2017-06-08 |
| 1891222527 | Center for Hope and Healing, LLC | Social Worker | 804 Hwy 466, Lady Lake, FL 32159 | 2017-05-12 |
| Find all providers in zip 32159 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548828254 | Cristen Elaine Cox | Pediatrics | 1400 N Us Highway 441 Ste 522, The Villages, FL 32159-8983 | 2019-05-29 |
| 1255343398 | Heriberto Menendez | Pediatrics | 3133 Jemima Ave, The Villages, FL 32163-2329 | 2006-08-13 |
| 1457452708 | Normarie M Albino | Pediatrics | 1400 N Us Highway 441, Bldg 940 Suite 942, The Villages, FL 32159-8975 | 2006-09-26 |
| 1205835691 | Kimberly M Pezzone | Pediatrics | 1400 N Us Highway 441, Suite 522, The Villages, FL 32159-8975 | 2005-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134734072 | Megan Anne Watkins | Pediatrics | 2020 Cattleman Rd, Suite 600, Sarasota, FL 34232 | 2020-09-08 |
| 1114530664 | Complex Care of Central Florida, LLC | Pediatrics | 508 Sweetwater Club Cir, Longwood, FL 32779-2131 | 2020-08-25 |
| 1073123931 | Topaz Pediatrics, LLC | Pediatrics | 2513 E Semoran Blvd, Apopka, FL 32703-5835 | 2020-08-05 |
| 1255941688 | Doctors Memorial Health Clinic | Pediatrics | 2910 Hospital Dr Ste B, Bonifay, FL 32425-4268 | 2020-07-31 |
| 1508475815 | Baptist Primary Care Inc | Pediatrics | 520 A1a N Ste 102, Ponte Vedra Beach, FL 32082-2260 | 2020-07-23 |
| 1720603129 | Kids' Corner Pediatrics | Pediatrics | 1114 Bell Shoals Road, Brandon, FL 33511-8813 | 2020-06-11 |
| 1245855063 | Pediatric Associates of Tampa Bay, LLC | Pediatrics | 901 E Bloomingdale Ave # 501, Brandon, FL 33511-8118 | 2020-06-09 |
| 1396369187 | Im Sulzbacher Center for The Homeless, Inc | Pediatrics | 5455 Springfield Blvd, Jacksonville, FL 32208-5166 | 2020-06-08 |
| 1255954855 | Step By Step Ppec Corp | Pediatrics | 8300 Nw 177th St, Hialeah, FL 33015-3645 | 2020-05-19 |
| 1932721107 | Dr. B's Kids, Pa | Pediatrics | 215 Nw 138th Ter Ste 100, Newberry, FL 32669-2090 | 2020-05-11 |
| Find all providers with the same taxonomy | ||||
| City | THE VILLAGES |
| Zip Code | 32159 |
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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.