NORTH FLORIDA PEDIATRICS, PA (NPI# 1700362282) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700362282 |
| Entity Type | Organization |
| Organization Name | NORTH FLORIDA PEDIATRICS, PA |
| Practice Address |
5686 Us Highway 129 South School Clinic Jasper FL 32052 |
| Mailing Address |
1859 Sw Newland Way Lake City FL 32256 |
| Practice Telephone | 3867928000 |
| Practice Fax Number | 3867554432 |
| Mailing Telephone | 3867580003 |
| Mailing Fax Number | 3867554432 |
| Enumeration Date | 2018-07-17 |
| Last Update Date | 2018-07-23 |
| Authorized Official Name | DR. SAMUEL SANTELICES (PRESIDENT/CEO) |
| Authorized Official Telephone | 3867580003 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | FL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033768981 | North Florida Pediatrics, Pa | Pediatrics | 4501 Atlantic Boulevard, Jacksonville, FL 32207 | 2019-09-04 |
| 1609424217 | North Florida Pediatrics, Pa | Pediatrics | 145 Hilden Road Suite 101, Ponte Vedra, FL 32081 | 2019-08-27 |
| 1184116972 | North Florida Pediatrics, Pa | Pediatrics | 9770 Old Bay Meadows Road, Suite 101, Jacksonville, FL 32256-7986 | 2018-06-06 |
| 1548758428 | North Florida Pediatrics, Pa | Pediatrics | North Florida Pediatrics, Pa, 417 East Call Street, Starke, FL 32091 | 2018-04-26 |
| 1558602482 | North Florida Pediatrics, Pa | Pediatrics | 1101 Ohio Ave South, Live Oak, FL 32064 | 2013-03-01 |
| Street Address |
5686 US HIGHWAY 129 SOUTH SCHOOL CLINIC |
| City | JASPER |
| State | FL |
| Zip Code | 32052 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467902718 | Anthony James Holden | Non-emergency Medical Transport (VAN) | 1124 Maplewood Rd, Jasper, FL 32052 | 2016-10-11 |
| 1114347143 | Danielle Bryant | Custodial Care Facility | 3181 Nw 111th Pl, Jasper, FL 32052 | 2014-04-17 |
| 1962717538 | Fawaz Abdulraheem | Surgery | Mubarak Al-kabeer Hospital, Street 103, Jabriya, Kuwait City, KWI 32052 | 2010-08-08 |
| 1033447206 | Latia Lumpkin | Home Health | 1001 3rd St Nw, Jasper, FL 32052 | 2009-11-30 |
| 1558540104 | Hamilton Count Council On Aging | Case Management | 1509 S.w. 1st St., Jasper, FL 32052 | 2007-10-31 |
| 1861513665 | Hometown Care | Durable Medical Equipment & Medical Supplies | 107 Hatley Street, Jasper, FL 32052 | 2007-04-02 |
| 1215091699 | Hamilton County School Board | Local Education Agency (LEA) | 4280 S.w. County Rd 152, Jasper, FL 32052 | 2006-12-20 |
| 1689738296 | Hamilton County School Board | Local Education Agency (LEA) | 4280 S. W. County Rd 152, Jasper, FL 32052 | 2006-12-20 |
| 1205925146 | W. Benjamin Norris Jr. | Dentist | 107 First Ave Se, Jasper, FL 32052 | 2006-10-11 |
| 1568571263 | Renaldas Smidtas | Internal Medicine | 413 Nw 5th Ave, Jasper, FL 32052 | 2006-08-29 |
| Find all providers in zip 32052 | ||||
| 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 |
|---|---|---|---|---|
| 1093168049 | Children's Clinic of Jasper | Pediatrics | 1008 Dickerson Dr, Jasper, TX 75951-5111 | 2016-07-14 |
| 1598178493 | North Arkansas Regional Medical Center | Pediatrics | 609 W Clark, Jasper, AR 72641 | 2014-06-09 |
| 1639188147 | Kalyan Kumar Rath | Pediatrics | 1273 S Peachtree, Jasper, TX 75951 | 2006-08-05 |
| 1710957741 | Richard Spence Dabbs | Pediatrics | 1513 Pediatric Dr, Jasper, AL 35501-4059 | 2006-01-24 |
| 1043203326 | Gary Stephen Hayes | Pediatrics | 4896 Main St, Jasper, TN 37347-3681 | 2005-08-23 |
| 1669464269 | Chaninthorn Setabutr | Pediatrics | 605 W Gibson St, Jasper, TX 75951-4909 | 2005-08-19 |
| 1033114285 | North Florida Pediatrics Pa | Pediatrics | 1117 Nw Hwy 41, Ste B, Jasper, FL 32052-5856 | 2005-06-15 |
| 1780071597 | Cameron Laseter Diaz | Pediatrics | 1513 Pediatric Dr, Jasper, AL 35501-4059 | 2015-04-20 |
| 1417376195 | Valley Medical Care LLC | Pediatrics | 980 Highway 28, Suite 100, Jasper, TN 37347-3695 | 2014-04-10 |
| 1275974255 | Krystle Susan Hahus | Pediatrics | 721 W 13th St, Suite 321, Jasper, IN 47546-1855 | 2013-07-08 |
| Find all providers in JASPER | ||||
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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.