PEDIATRIC HEALTH CARE (NPI# 1215063821) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215063821 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC HEALTH CARE |
| Other Organization Name | PEDIATRIC HEALTH CARE |
| Practice Address |
5308 S John Young Pkwy Ste. 200 Orlando FL 32839-7362 |
| Mailing Address |
5308 S John Young Pkwy Suite 200 Orlando FL 32839-7362 |
| Practice Telephone | 4075632821 |
| Practice Fax Number | 4072409508 |
| Mailing Telephone | 4075632821 |
| Mailing Fax Number | 4072409508 |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2012-03-01 |
| Authorized Official Name | DR. RAZA ALI (PHYSICIAN) |
| Authorized Official Telephone | 4075632821 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | ME 62109 | FL | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| PEDIATRIC HEALTH CARE | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992965750 | Pediatric Health Care | Health Maintenance Organization | 120 14th Ave Se Ste A, Puyallup, WA 98372-3718 | 2008-06-13 |
| 1689116691 | Pediatric Health Care | Nurse Practitioner | 1420 3rd St Se, Ste. 200, Puyallup, WA 98372-3730 | 2016-11-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | PEDIATRIC HEALTH CARE INC | 1420 3rd St Se Ste 200, Puyallup, WA 98372-3730 |
| New York State Corporations | PEDIATRIC HEALTH CARE SERVICES, LLC | 4039 Route 219 Suite 103, Salamanca, New York 14779 |
| New York State Corporations | PEDIATRIC HEALTH CARE, P.C. | 148 New Dorp Lane, Staten Island, Ny 10306 |
| Street Address |
5308 S JOHN YOUNG PKWY STE. 200 |
| City | ORLANDO |
| State | FL |
| Zip Code | 32839-7362 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770523482 | Raza Ali | Pediatrics | 5308 S John Young Pkwy, Suite #200, Orlando, FL 32839-7362 | 2006-06-08 |
| 1255976775 | Belinda L Saunders | Internal Medicine | 5308 S John Young Pkwy, Orlando, FL 32839-7362 | 2019-11-07 |
| 1932221504 | Primary Care of Orlando, Inc. | Internal Medicine | 5308 S John Young Pkwy, Suite 100, Orlando, FL 32839-7362 | 2007-04-04 |
| 1235140260 | Michelle David Muriel | Pediatrics | 5308 S John Young Pkwy, Orlando, FL 32839-7362 | 2006-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851916951 | Good Ole Days Adult Living Facility LLC | Assisted Living Facility | 3913 Trovati Street, Orlando, FL 32839 | 2020-06-15 |
| 1396399846 | Steven Outlaw | Specialist/Technologist | 216 Spencer St, Orlando, FL 32839 | 2019-08-01 |
| 1225517279 | Orlando Outpatient Surgery Center LLC | Clinic/Center | 1736 33rd St, Orlando, FL 32839 | 2018-08-10 |
| 1811406564 | Latonya Rouse | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5214 Via Hacienda, 206, Orlando, FL 32839 | 2017-09-26 |
| 1154841153 | Jillisa Clobree Tarver | Technician, Other | 5451 Millenia Lakes Blvd Apt 186, Orlando, FL 32839 | 2017-06-21 |
| 1760917728 | Beatriz Baez | Health Educator | 4836 Ligustrom Way, Orlando, FL 32839 | 2017-04-27 |
| 1740637115 | Marines Vigo | Psychologist | 1114 Redman St, Apt B, Orlando, FL 32839 | 2016-05-16 |
| 1417332560 | Kimona Lawrence | Optometrist | 4200 Conroy Road, Orlando, FL 32839 | 2015-07-29 |
| 1942627732 | Jennifer Lombardo | Social Worker | 4530 S Orange Blossom Trl # 570, Orlando, FL 32839 | 2014-03-18 |
| 1336413863 | Cheryl Lynn Anderson | Social Worker | 3805 Millenia Blvd, #110, Orlando, FL 32839 | 2012-03-01 |
| Find all providers in zip 32839 | ||||
| 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 |
|---|---|---|---|---|
| 1891329355 | Brittani Newport | Pediatrics | 10743 Narcoossee Rd Ste A13, Orlando, FL 32832-6946 | 2020-02-24 |
| 1467091959 | Jennifer Dolcater Ketchersid | Pediatrics | 2501 N Orange Ave Ste 586, Orlando, FL 32804-4603 | 2019-12-31 |
| 1396250098 | Advanced Kid's Care | Pediatrics | 98 Terra Mango Loop, Unit 12, Orlando, FL 32835 | 2017-12-05 |
| 1467977454 | Physician Associates LLC | Pediatrics | 14065 Town Loop Blvd Ste 300, Orlando, FL 32837-6199 | 2017-08-10 |
| 1609320837 | Starus Pediatrics LLC | Pediatrics | 6001 Vineland Rd Ste 103, Orlando, FL 32819-7829 | 2016-08-04 |
| 1942656517 | Vijay Mehta | Pediatrics | 60 W Gore St # Mp373, Orlando, FL 32806 | 2016-05-12 |
| 1124401674 | Kelsey Wehrenberg | Pediatrics | 83 Columbia St Ste 202, Orlando, FL 32806 | 2015-07-01 |
| 1396138319 | Premier Physician Associates LLC | Pediatrics | 13651 Hunters Oak Dr, Ste 101, Orlando, FL 32837-7679 | 2015-03-16 |
| 1073917076 | Abdollah Iravani Md Pa | Pediatrics | 2106 N Orange Ave # 100, Orlando, FL 32804-5535 | 2014-10-20 |
| 1720407620 | Christopher Dudek | Pediatrics | 86 W Underwood St Ste 200, Orlando, FL 32806-1110 | 2014-04-08 |
| Find all providers in ORLANDO | ||||
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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.