KASEY A STATUM M.D., NPI 1720082076
Pediatrics in BEVERLY HILLS, FL
Last Updated on : Nov 27,2023
About KASEY A STATUM (NPI 1720082076)
KASEY A STATUM is a Pediatrics provider in BEVERLY HILLS, United States. Her medical specialization is Pediatrics .
1720082076 is NPI number of KASEY A STATUM.
KASEY A STATUM's primary taxonomy code based on NPI Lookup is 208000000X with license number ME114685. This taxonomy code refers to Pediatrics.
KASEY A STATUM has more than 17 years of experience.
KASEY A STATUM current practice location address is 4437 N CANDLEWOOD DR, BEVERLY HILLS, FL. KASEY A STATUM can be reached out via phone at 301-254-4316 .
You can also correspond with KASEY A STATUM through mail at mailing address 1500 LAKELAND HILLS BLVD STE 1, LAKELAND, FL, United States. Mailing address contact number is 832-242-4735.
The enumeration date of KASEY A STATUM is 01-Jun-2005. The provider is registered as an Individual and the NPI record was last updated 1 years ago.1720082076 NPI Information
Basic NPI information of KASEY A STATUM (NPI 1720082076) is provided below.
| Name | KASEY A STATUM |
|---|---|
| National Provider Id (NPI) | 1720082076 |
| Entity Type | Individual |
| Gender | F |
| Credential | M.D. |
| Practice Address | 4437 N CANDLEWOOD DR,
BEVERLY HILLS, FL, United States |
| Practice Telephone | 301-254-4316 |
| Practice Fax Number | |
| Mailing Address | 1500 LAKELAND HILLS BLVD STE 1 ,
LAKELAND, FL, United States |
| Mailing Telephone | 832-242-4735 |
| Mailing Fax Number | 239-302-1344 |
| Enumeration Date | 01-Jun-2005 |
| Last Updated Date | 27-Nov-2023 |
KASEY A STATUM (NPI 1720082076) Primary Taxonomy Information
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.
| Primary | Taxonomy Code | Clasification | License Number | License State |
|---|---|---|---|---|
| Y | 208000000X | Pediatrics | ME114685 | FL |
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.
KASEY A STATUM (NPI 1720082076) Secondary Taxonomy Information
The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs, the license data is associated to each taxonomy code.
| Primary | Taxonomy Code | Clasification | License Number | License State |
|---|---|---|---|---|
| N | 208000000X | Pediatrics | 21877 | WV |
| N | 208000000X | Pediatrics | 0101246540 | VA |
| N | 208000000X | Pediatrics | 227551 | NY |
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type/Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3810003695 | MEDICAID (05) | WV |
KASEY A STATUM (NPI 1720082076) Office Location
Office location of KASEY A STATUM is provided in the Google maps below.Providers in same location
Here are a few of the other providers in the same location.
| NPI | Name | Taxonomy | Address | Enumeration date |
|---|---|---|---|---|
| 1689113037 | 120 SPALDING SURGERY CENTER, LLC | Clinic/Center, Ambulatory Surgical | 120 S SPALDING DR STE 105,
BEVERLY HILLS, CA, United States |
17-Feb-2017 |
| 1356659023 | 1775 SUMMITRIDGE DRIVE, LLC | Substance Abuse Rehabilitation Facility | 1775 SUMMITRIDGE DR,
BEVERLY HILLS, CA, United States |
15-Sep-2010 |
| 1447541248 | 180 CENTER LA | Substance Abuse Rehabilitation Facility | 1775 SUMMITRIDGE DR,
BEVERLY HILLS, CA, United States |
27-Apr-2011 |
| 1891199329 | 2020HEALTH | Internal Medicine, Cardiovascular Disease | PO BOX 516,
BEVERLY HILLS, CA, United States |
13-Oct-2014 |
| 1801943022 | 3 ANGELS HEALTH CENTER, INC. | Acupuncturist | 250 N ROBERTSON BLVD,
SUITE 516 BEVERLY HILLS, CA, United States |
03-Jan-2007 |
| 1235211137 | 436 AESTHETIC SURGERY CENTRE, INC. | Clinic/Center, Ambulatory Surgical | 11999 SAN VICENTE BLVD,
STE. 440 LOS ANGELES, CA, United States |
19-Oct-2006 |
| 1972694487 | 436 BEVERLY HILLS, LLC | Clinic/Center, Ambulatory Surgical | 436 N BEDFORD DR,
SUITE 102 BEVERLY HILLS, CA, United States |
28-Sep-2006 |
| 1720718596 | 6740 WILBUR AVENUE OPCO LLC | Skilled Nursing Facility, Nursing Care, Pediatric | 369 S DOHENY DR # 114,
BEVERLY HILLS, CA, United States |
14-Jun-2022 |
| 1437186798 | 8920 MEDICAL ASSOCIATES, INC. | Internal Medicine | 8920 WILSHIRE BLVD STE 635,
BEVERLY HILLS, CA, United States |
26-Jun-2006 |
| 1538858113 | 90210 RECOVERY INC | Substance Abuse Rehabilitation Facility | 9663 SANTA MONICA BLVD # 900,
BEVERLY HILLS, CA, United States |
01-May-2023 |
| 1467747493 | 90210 SURGERY CENTER | Clinic/Center, Ambulatory Surgical | 436 N BEDFORD DR STE 200,
BEVERLY HILLS, CA, United States |
17-Jun-2011 |
| 1295769131 | 90210 SURGERY MEDICAL CENTER, LLC | Clinic/Center, Ophthalmologic Surgery | 450 N ROXBURY DR,
SUITE 600 BEVERLY HILLS, CA, United States |
10-Jul-2006 |
| 1902851009 | 90210 SURGERY MEDICAL CENTER, LLC | Clinic/Center, Ambulatory Surgical | 9735 WILSHIRE BLVD,
SUITE 100 BEVERLY HILLS, CA, United States |
24-May-2006 |
| 1730583808 | 90210 SURGICAL ASSOCIATES LLC | Clinic/Center, Ambulatory Surgical | 465 N ROXBURY DR,
SUITE 1020 BEVERLY HILLS, CA, United States |
17-Oct-2014 |
| 1679995559 | 9301 WILSHIRE SURGERY INC. | Specialist | 9301 WILSHIRE BLVD,
SUITE 301 BEVERLY HILLS, CA, United States |
13-Jan-2014 |
| 1063157626 | 991 CLYDE AVENUE OPCO, LLC | Skilled Nursing Facility | 369 S DOHENY DR # 114,
BEVERLY HILLS, CA, United States |
28-Apr-2022 |
| 1720278641 | A KEVIN AMINIAN M.D. PMC | Psychiatry & Neurology, Neurology | 8920 WILSHIRE BLVD,
548 BEVERLY HILLS, CA, United States |
26-Jul-2007 |
| 1710349071 | A LIU MD PLLC | Internal Medicine | PO BOX 640524,
BEVERLY HILLS, FL, United States |
25-Mar-2016 |
| 1073703237 | A R T REPRODUCTIVE CENTER, INC. | Clinical Medical Laboratory | 450 N ROXBURY DR,
SUITE 520 BEVERLY HILLS, CA, United States |
25-Jul-2007 |
| 1063600443 | A RANDOLPH PEARLSTEIN MD A MEDICAL CORPORATION | Internal Medicine | 9400 BRIGHTON WAY,
SUITE# 201 BEVERLY HILLS, CA, United States |
10-Oct-2007 |
How to check whether NPI 1063496693 is valid?
The following video explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
FAQs
Whose NPI Number is 1720082076?1720082076 is the NPI number of KASEY A STATUM.
What is the specialty for KASEY A STATUM?The Specialty of KASEY A STATUM is Pediatrics.
NPI number meaning
| Field Name | Field Value |
|---|---|
| NPI | 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. |
| Entity Type | Code describing the type of health care provider that is being assigned an NPI.
Codes are:
|
| Provider Business Mailing Address | The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code. |
| Provider Business Mailing Address Telephone Number | The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number". |
| Provider Business Mailing Address Fax Number | The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''. |
| Provider Business Practice Location Address Telephone Number | The telephone number associated with the location address of the provider being identified. |
| Provider Business Practice Location Address Fax Number | The fax number associated with the location address of the provider being identified. |
| Provider Enumeration Date | The date the provider was assigned a unique identifier (assigned an NPI). |
| Last Update Date | The date that a record was last updated or changed. |
| Authorized Official Telephone Number | The 10-position telephone number of the authorized official. |
| Healthcare Provider Taxonomy Code | The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization. |
| Healthcare Provider Taxonomy | Taxonomy Description of the Healthcare Provider. |
| Provider License Number | Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section. |
| Provider License Number State Code | Provider License Number State Code #1 |
| Healthcare Provider Primary Taxonomy Switch | Primary Taxonomy:
|