STAGES PEDIATRIC CARE – NPI #1477881829
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.

STAGES PEDIATRIC CARE is a provider located in ORANGE CITY, FL. NPPES has assigned the NPI number 1477881829 to STAGES PEDIATRIC CARE on November 23, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “STAGES PEDIATRIC CARE” is a dba name, the actual legal business name for this organization is SANDRA DEE MD LLC. The primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was previously updated about 5 years ago on Sep 07, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for STAGES PEDIATRIC CARE below.

NPI Profile for
SANDRA DEE MD LLC

NPI Number
1477881829
Enumeration Date

(more than 16 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SANDRA DEE MD LLC
Doing Business As (dba): STAGES PEDIATRIC CARE
Primary location
947 TOWN CENTER DR
ORANGE CITY, FL 32763-8361
Phone: (386) 917-0075 Fax: (386) 917-0655
1 Other location(s):
1061 Medical Center Dr
suite 203
Orange City, FL 32763-8200
Phone: (386) 917-0075
Fax: (386) 917-0655
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
SANDRA DEE
PHYSICIAN
Phone: (386) 917-0075
Updated
Certification Date
Sep 07, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for STAGES PEDIATRIC CARE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERSTATE LICENSEFLME96074
MEDICAIDFL277419400
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208000000X
- Pediatrics (Primary)
FL ME96074

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.