PALM BAY PEDIATRICS
NPI 1770731291
Pediatrics in Malabar, FL
NPI Status: Active since September 09, 2008
Contact Information
775 MALABAR RD
MALABAR, FL
ZIP 32950
Phone: (321) 722-8435
Fax: (321) 722-8486
- Organization
- Pediatrics
- CLIA Number: 10D2055018
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 03-03-2027
About PALM BAY PEDIATRICS
This page provides the complete NPI Profile along with additional information for Palm Bay Pediatrics, a pediatrician established in Malabar, Florida operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1770731291 assigned on September 2008. The practitioner's primary taxonomy code is 208000000X with license number ME63747 (FL). The provider is registered as an organization and their NPI record was last updated 17 years ago. Palm Bay Pediatrics 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 Dr. Doris Margarita Leedy M.d. (Owner/physician)
- NPI
- 1770731291
- Provider Name
- PALM BAY PEDIATRICS
- Entity Type
- Organization
- Location Address
- 775 MALABAR RD MALABAR, FL 32950
- Location Phone
- (321) 722-8435
- Location Fax
- (321) 722-8486
- Mailing Address
- 775 MALABAR RD MALABAR, FL 32950
- Mailing Phone
- (321) 722-8435
- Mailing Fax
- (321) 722-8486
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-09-2008
- Last Update Date
- 09-09-2008
- Code Navigator
A pediatrician like Palm Bay Pediatrics is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
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
Pediatrics
- Taxonomy Code
- 208000000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- ME63747
- License State
- FL
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 2080P0205X | Allopathic & Osteopathic Physicians | Pediatrics | ME63747 (FL) |
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:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| E41429 | OTHER (01) | FL | UPIN |
| ========= | OTHER (01) | FL | HEALTHFIRST |
| 372797100 | MEDICAID (05) | FL | |
| 632833 | OTHER (01) | FL | AETNA |
| 3736201002 | OTHER (01) | FL | CIGNA |
| ========= | OTHER (01) | FL | UNITEDHEALTHCARE |
| ========= | OTHER (01) | FL | TAX ID NUMBER |
| 18683 | OTHER (01) | FL | BLUE CROSS BLUE SHIELD |
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
- 10D2055018
- Facility Type
- Physician Office
- Certificate Effective Date
- March 04, 2025
- Certificate Expiration Date
- March 03, 2027
- Laboratory Director
- DAVID S. NORRIS
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Palm Bay Pediatrics 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 PALM BAY PEDIATRICS
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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 | 7 | 7 | 0 | 7 | 3 | 1 | 2 | 9 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 14 | 0 | 14 | 3 | 2 | 2 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 4 + 0 + 1 + 4 + 3 + 2 + 2 + 1 + 8 + 24 = 59 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 59 = 1 | 1 | ||||||||
The NPI number 1770731291 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 17 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1891774899 | MRS. GERALDINE ANN HALSTEAD ARNP Individual | Nurse Practitioner (Pediatrics) | 775 MALABAR RD MALABAR, FL 32950 (321) 722-8435 |
| 1528330826 | BREVARD HEALTH ALLIANCE Organization | Clinic/Center (Federally Qualified Health Center (FQHC)) | 775 MALABAR RD MALABAR, FL 32950 (321) 722-8435 |
| 1467735225 | DR. VANESSA HINCKSON M.D. Individual | Pediatrics | 775 MALABAR RD MALABAR, FL 32950 (321) 722-8435 |
| 1790056877 | BREVARD HEALTH ALLIANCE INC Organization | Clinic/Center (Federally Qualified Health Center (FQHC)) | 775 MALABAR RD MALABAR, FL 32950 (321) 722-8435 |
| 1801289707 | LEIGH ANNE POTTS ARNP Individual | Nurse Practitioner (Pediatrics) | 775 MALABAR RD MALABAR, FL 32950 (321) 722-8435 |
| 1124327234 | CHRISTINE L JUSTICE ARNP Individual | Nurse Practitioner (Family) | 775 MALABAR RD MALABAR, FL 32950 (321) 722-8435 |
| 1326003096 | DAVID H TODD DO Individual | Family Medicine | 775 MALABAR RD MALABAR, FL 32950 (321) 722-8435 |
| 1104880731 | DASSY MAS MD Individual | Pediatrics | 775 MALABAR RD MALABAR, FL 32950 (321) 722-8435 |
| 1356853360 | TRACY ZAPANTA ARNP Individual | Nurse Practitioner (Family) | 775 MALABAR RD MALABAR, FL 32950 (321) 722-8435 |
| 1518338839 | DR. LAKEECIA CANNION DNP, ARNP-C Individual | Nurse Practitioner (Adult Health) | 775 MALABAR RD MALABAR, FL 32950 (321) 722-8435 |
| 1346459435 | DR. STEPHANIE BLAZAK NAPOLI PSY.D. Individual | Psychologist | 775 MALABAR RD MALABAR, FL 32950 (321) 722-8435 |
| 1770289092 | MR. ALEJANDRO CIRILO LCSW Individual | Social Worker (Clinical) | 775 MALABAR RD MALABAR, FL 32950 (321) 733-0642 |
| 1891436010 | JAKE TENEWITZ MD Individual | Family Medicine | 775 MALABAR RD MALABAR, FL 32950 (321) 241-6800 |
| 1457828832 | AMANDA ROSE SLEDZ PA Individual | Physician Assistant | 775 MALABAR RD MALABAR, FL 32950 (321) 241-6800 |
| 1699487033 | JAMIE CROSS LCSW Individual | Social Worker (Clinical) | 775 MALABAR RD MALABAR, FL 32950 (321) 241-6800 |
| 1245904689 | DR. TRISTAN CARTWRIGHT MD Individual | Internal Medicine | 775 MALABAR RD MALABAR, FL 32950 (321) 241-6800 |
| 1043084254 | MEAGAN SUMNER PA-C Individual | Physician Assistant | 775 MALABAR RD MALABAR, FL 32950 (321) 241-6800 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1770731291, enumerated in the NPI registry as an "organization" on September 09, 2008
The provider is located at 775 Malabar Rd Malabar, Fl 32950 and the phone number is (321) 722-8435
This medical organization specializes in Pediatrics with taxonomy code 208000000X
The provider might be accepting Accepts: Medicare, Medicaid, Aetna, Cigna and Blue Cross. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 10D2055018 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 September 09, 2008. 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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