COUNTRYSIDE PEDIATRIC CARE, P.A. – NPI #1518370345
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.

COUNTRYSIDE PEDIATRIC CARE, P.A. is a provider located in CLEARWATER, FL. NPPES has assigned the NPI number 1518370345 to COUNTRYSIDE PEDIATRIC CARE, P.A. on June 10, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. 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 last updated on Jul 11, 2024. 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 COUNTRYSIDE PEDIATRIC CARE, P.A. below.

NPI Profile for
COUNTRYSIDE PEDIATRIC CARE, P.A.

NPI Number
1518370345
Enumeration Date

(about 12 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
COUNTRYSIDE PEDIATRIC CARE, P.A.
Primary location
2531 LANDMARK DR STE 103
CLEARWATER, FL 33761-3928
Phone: (727) 599-0893 Fax: (727) 674-2965
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MONICA KHARBANDA
PRESIDENT
Phone: (727) 599-0893
Updated
Certification Date
Jul 11, 2024

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.

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 ME 92529

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.