PEDIATRIC SURGICAL GROUP, P.A.
NPI 1033194816
Surgery - Pediatric Surgery in St Petersburg, FL
NPI Status: Active since December 14, 2005
Contact Information
880 6TH ST S
SUITE 210
ST PETERSBURG, FL
ZIP 33701
Phone: (727) 767-4170
Fax: (727) 767-4346
- Organization
- Surgery
- Pediatric Surgery
- Accepts Insurance
- CLIA Number: 10D2024540
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 05-17-2027
About PEDIATRIC SURGICAL GROUP, P.A.
This page provides the complete NPI Profile along with additional information for Pediatric Surgical Group, P.a., a provider established in St Petersburg, Florida operating as a Surgery, focusing in pediatric surgery . The healthcare provider is registered in the NPI registry with number 1033194816 assigned on December 2005. The practitioner's primary taxonomy code is 2086S0120X with license number ME0055290 (FL). The provider is registered as an organization and their NPI record was last updated 5 years ago. Pediatric Surgical Group, P.a. operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Mrs. Cathy Clark (Practice Manager)
- NPI
- 1033194816
- Provider Name
- PEDIATRIC SURGICAL GROUP, P.A.
- Entity Type
- Organization
- Location Address
- 880 6TH ST S SUITE 210 ST PETERSBURG, FL 33701
- Location Phone
- (727) 767-4170
- Location Fax
- (727) 767-4346
- Mailing Address
- 880 6TH ST S SUITE 210 ST PETERSBURG, FL 33701
- Mailing Phone
- (727) 767-4170
- Mailing Fax
- (727) 767-4346
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-14-2005
- Last Update Date
- 08-22-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Surgery Pediatric Surgery
- Taxonomy Code
- 2086S0120X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- ME0055290
- License State
- FL
- Taxonomy Description
- A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BlueOptions Bronze (HSA) 24J01-10 (Rewards / $4 Condition Care Rx) - PPO
- BlueOptions Bronze 24J01-04 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - PPO
- BlueOptions Bronze 24J01-06 ($0 Virtual PCP Visits / Rewards) - PPO
- BlueOptions Bronze 24J01-17 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - PPO
- BlueOptions Bronze 24J01-18S (Multilingual Available / Rewards) - PPO
- BlueOptions Gold 24J01-09 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - PPO
- BlueOptions Gold 24J01-12 ($0 Virtual PCP Visits / $15 Labs / Rewards) - PPO
- BlueOptions Gold 24J01-20S ($30 PCP Visits / Multilingual Available / Rewards) - PPO
- BlueOptions Platinum 24J01-05 ($0 Virtual PCP Visits / $0 Labs / $15 PCP Visits / Rewards) - PPO
- BlueOptions Platinum 24J01-08 ($0 Virtual PCP Visits / $0 Labs / $10 PCP Visits / Rewards) - PPO
- BlueOptions Platinum 24J01-21S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Multilingual Available / Rewards) - PPO
- BlueOptions Silver 24J01-03 ($0 Virtual PCP Visits / $0 Labs / Rewards) - PPO
- BlueOptions Silver 24J01-07 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - PPO
- BlueOptions Silver 24J01-19S ($40 PCP Visits / Multilingual Available / Rewards) - PPO
- BlueSelect Bronze (HSA) 1735 (Rewards / $4 Condition Care Rx) - EPO
- BlueSelect Bronze 1449 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - EPO
- BlueSelect Bronze 2139 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - EPO
- BlueSelect Bronze 2139E ($0 Virtual PCP Visits / $50 PCP Visits / Adult Dental & Vision / Rewards) - EPO
- BlueSelect Bronze 2139V ($0 Virtual PCP Visits / $50 PCP Visits / Adult Vision / Rewards) - EPO
- BlueSelect Bronze 2342S ($50 PCP Visits / Multilingual Available / Rewards) - EPO
- BlueCare Bronze (HSA) 24K01-09 (Rewards / $4 Condition Care Rx) - POS
- BlueCare Bronze 24K01-03 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - POS
- BlueCare Bronze 24K01-05 ($0 Virtual PCP Visits / Rewards) - POS
- BlueCare Bronze 24K01-25 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - POS
- BlueCare Bronze 24K01-31S (Multilingual Available / Rewards) - POS
- BlueCare Bronze 24K02-17 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - POS
- BlueCare Bronze 24K02-18 ($0 Virtual PCP Visits / Rewards) - POS
- BlueCare Bronze 24K02-23 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - POS
- BlueCare Bronze 24K02-26S (Multilingual Available / Rewards) - POS
- BlueCare Gold 24K01-08 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - POS
- BlueCare Gold 24K01-10 ($0 Virtual PCP Visits / $15 Labs / Rewards) - POS
- BlueCare Gold 24K01-33S ($30 PCP Visits / Multilingual Available/ Rewards) - POS
- BlueCare Gold 24K02-20 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - POS
- BlueCare Gold 24K02-28S ($30 PCP Visits / Multilingual Available / Rewards) - POS
- BlueCare Platinum 24K01-04 ($0 Virtual PCP Visits / $0 Labs / $15 PCP Visits / Rewards) - POS
- BlueCare Platinum 24K01-07 ($0 Virtual PCP Visits / $0 Labs / $10 PCP Visits / Rewards) - POS
- BlueCare Platinum 24K01-34S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Multilingual Available / Rewards) - POS
- BlueCare Platinum 24K02-15 ($0 Virtual PCP Visits / $0 Labs / $10 PCP Visits / Rewards) - POS
- BlueCare Platinum 24K02-29S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Multilingual Available / Rewards) - POS
- BlueCare Silver 24K01-02 ($0 Virtual PCP Visits / $0 Labs / Rewards) - POS
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 10D2024540
- Facility Type
- Physician Office
- Certificate Effective Date
- May 18, 2025
- Certificate Expiration Date
- May 17, 2027
- Laboratory Director
- SUPAMIT UKARAPONG
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Pediatric Surgical Group, P.a. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for PEDIATRIC SURGICAL GROUP, P.A.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 3 | 3 | 1 | 9 | 4 | 8 | 1 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 6 | 3 | 2 | 9 | 8 | 8 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 6 + 3 + 2 + 9 + 8 + 8 + 2 + 24 = 64 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 64 = 6 | 6 | ||||||||
The NPI number 1033194816 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1104815893 | TROY A BECKER M.S. Individual | Genetic Counselor, MS | 880 6TH ST S SUITE 240 ST PETERSBURG, FL 33701 (727) 767-8491 |
| 1114902889 | DR. DAVID MICHAEL BERMAN D.O. Individual | Pediatrics (Pediatric Infectious Diseases) | 880 6TH ST S SUITE # 240 ST PETERSBURG, FL 33701 (727) 767-4160 |
| 1790733749 | DR. JUAN ANTONIO DUMOIS III M.D. Individual | Pediatrics (Pediatric Infectious Diseases) | 880 6TH ST S BOX 7810 ST PETERSBURG, FL 33701 (727) 767-4160 |
| 1225087141 | MRS. SANDRA BROOKS M.D. Individual | Pediatrics (Neonatal-Perinatal Medicine) | 880 6TH ST S SUITE #470 ST PETERSBURG, FL 33701 (727) 767-4313 |
| 1700835667 | DR. DANILO ESCOTO M.D. Individual | Pediatrics (Neonatal-Perinatal Medicine) | 880 6TH ST S SUITE 470 SAINT PETERSBURG, FL 33701 (727) 767-4313 |
| 1871542613 | DR. FAUZIA SHAKEEL M.D. Individual | Pediatrics (Neonatal-Perinatal Medicine) | 880 6TH ST S SUITE #470 ST PETERSBURG, FL 33701 (727) 767-4313 |
| 1699724187 | DR. VAN LILLY M.D. Individual | Pediatrics (Neonatal-Perinatal Medicine) | 880 6TH ST S SUITE 470 SAINT PETERSBURG, FL 33701 (727) 767-4313 |
| 1073563490 | DR. MARK ALLEN CAVITT M.D. Individual | Psychiatry & Neurology (Child & Adolescent Psychiatry) | 880 6TH ST S SUITE 110 ST PETERSBURG, FL 33701 (727) 767-8477 |
| 1568411957 | DR. KEITH KANAREK M.D. Individual | Pediatrics (Neonatal-Perinatal Medicine) | 880 6TH ST S SUITE 470 SAINT PETERSBURG, FL 33701 (727) 767-4313 |
| 1710936117 | DR. VICTOR MCKAY M.D. Individual | Pediatrics (Neonatal-Perinatal Medicine) | 880 6TH ST S SUITE 470 SAINT PETERSBURG, FL 33701 (727) 767-4313 |
| 1265482608 | DR. ANTHONY NAPOLITANO M.D. Individual | Pediatrics (Neonatal-Perinatal Medicine) | 880 6TH ST S SUITE 470 SAINT PETERSBURG, FL 33701 (727) 767-4313 |
| 1972553931 | DR. ANJNI PATEL M.D. Individual | Pediatrics (Neonatal-Perinatal Medicine) | 880 6TH ST S SUITE #470 ST PETERSBURG, FL 33701 (727) 767-4313 |
| 1356391890 | DR. STACEY STONE M.D. Individual | Pediatrics (Neonatal-Perinatal Medicine) | 880 6TH ST S SUITE #470 ST PETERSBURG, FL 33701 (727) 767-4313 |
| 1124079108 | DR. JEFFREY LEE ALVARO M.D. Individual | Psychiatry & Neurology (Child & Adolescent Psychiatry) | 880 6TH ST S SUITE 110 ST PETERSBURG, FL 33701 (727) 767-8477 |
| 1851345706 | DR. ROBERTO SOSA M.D. Individual | Pediatrics (Neonatal-Perinatal Medicine) | 880 6TH ST S SUITE #470 ST PETERSBURG, FL 33701 (727) 767-4313 |
| 1174578009 | JORGE M GIROUD M.D. Individual | Pediatrics (Pediatric Cardiology) | 880 6TH ST S 280 ST PETERSBURG, FL 33701 (727) 767-4200 |
| 1588605026 | DR. ALBERTO SOTO M.D. Individual | Pediatrics (Neonatal-Perinatal Medicine) | 880 6TH ST S SUITE 470 ST PETERSBURG, FL 33701 (727) 767-4313 |
| 1184665622 | DR. JEANE MCCARTHY PH.D., M.D. Individual | Pediatrics (Neonatal-Perinatal Medicine) | 880 6TH ST S SUITE 470 ST PETERSBURG, FL 33701 (727) 767-4313 |
| 1235212846 | DR. SYBIL PREWITT FAYLO AU.D. Individual | Audiologist | 880 6TH ST S SUITE 170 ST PETERSBURG, FL 33701 (727) 767-8989 |
| 1831273291 | KATHY SLIFER AUD Individual | Audiologist | 880 6TH ST S STE 170 ST PETERSBURG, FL 33701 (727) 767-8989 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1033194816, enumerated in the NPI registry as an "organization" on December 14, 2005
The provider is located at 880 6th St S Suite 210 St Petersburg, Fl 33701 and the phone number is (727) 767-4170
This medical organization specializes in Surgery with taxonomy code 2086S0120X with a focus in Pediatric Surgery
The provider might be accepting Accepts: Florida Blue (BlueCross BlueShield FL) and Florida. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 10D2024540 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on December 14, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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