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KASEY A STATUM M.D., NPI 1720082076

Pediatrics in BEVERLY HILLS, FL

Last Updated on : Aug 12,2022

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 16 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

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 12-Aug-2022

KASEY A STATUM (NPI 1720082076) Primary Taxonomy Information

Primary Taxonomy Code Clasification License Number License State
Y 208000000X Pediatrics ME114685 FL

KASEY A STATUM (NPI 1720082076) Secondary Taxonomy Information

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

Identifier Type/Code Identifier State Identifier Issuer
2026731 MEDICARE PIN (08) WV
3810003695 MEDICAID (05) WV
I40891 MEDICARE UPIN (02) WV

KASEY A STATUM (NPI 1720082076) Office Location

Providers in same location

NPI Name Taxonomy Address Enumeration date
1093136442 ALYSON NICOLE STACK Marriage & Family Therapist 420 S BEVERLY DR, SUITE #100-16
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1578620498 MARIA I RODRIGUEZ Radiology, Diagnostic Radiology PO BOX 10432,
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1679630503 ALEXANDRA VITTORIA GUZMAN Marriage & Family Therapist 300 S BEVERLY DR, SUITE 400
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1306903208 SHAHLA Y RAD Family Medicine PO BOX 18059,
BEVERLY HILLS, CA, United States
02-Jan-2007
1801953625 JANICE WONG YAP Dentist, General Practice 8920 WILSHIRE BLVD, SUITE 630
BEVERLY HILLS, CA, United States
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1306903067 JACKSON LAU Optometrist 435 N ROXBURY DR STE 310,
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02-Jan-2007
1811054422 HARRY A. GLASSMAN Plastic Surgery 9150 WILSHIRE BLVD, SUITE 240,
BEVERLY HILLS, CA, United States
02-Jan-2007
1962041384 CONNECT WELLNESS, LLC Clinic/Center, Adult Mental Health 9301 WILSHIRE BLVD STE 600,
BEVERLY HILLS, CA, United States
02-Jan-2020
1710526157 TIFFANY FARSHI Pharmacist 918 HAVENHURST DR APT 215,
WEST HOLLYWOOD, CA, United States
02-Jan-2020
1801557913 HOLLY ADAMOUS Nurse Practitioner, Family 463 S REXFORD DR APT 204,
BEVERLY HILLS, CA, United States
02-Jan-2022
1922088954 MING N HUANG Thoracic Surgery (Cardiothoracic Vascular Surgery) 233 S OAKHURST DR,
BEVERLY HILLS, CA, United States
17-Jan-2006
1336127257 RASHIN NOURANIFAR SIMONI Dentist 50 N LA CIENEGA BLVD, SUIT 150
BEVERLY HILLS, CA, United States
03-Jan-2006
1619956745 REGISTERED NURSE PRACTITIONER CONSULTANT SERVICES Nursing Care 8550 WILSHIRE BLVD, SUITE 200
BEVERLY HILLS, CA, United States
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1265599633 BRIAN PAUL JACKS Psychiatry & Neurology, Psychiatry 462 N LINDEN, SUITE 441 BRIAN P JACKS MD
BEVERLY HILLS, CA, United States
03-Jan-2007
1063579498 KAREN LEE JOUBERT Physical Therapist 16610 CALLE BRITTANY,
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03-Jan-2007
1225185465 HARVEY DALE PALEY Specialist 9301 WILSHIRE BLVD., SUITE 404
BEVERLY HILLS, CA, United States
03-Jan-2007
1417004680 ARTHUR DAVID NORDON Dentist, General Practice 8500 WILSHIRE BLVD, SUITE 610
BEVERLY HILLS, CA, United States
03-Jan-2007
1770630998 KATHLEEN A FITZGERALD Psychologist, Clinical 450 N BEDFORD DR STE 303A,
BEVERLY HILLS, CA, United States
03-Jan-2007
1720135726 MIKE MANSOUR ROSTAMI General Practice 703 N RODEO DR,
BEVERLY HILLS, CA, United States
04-Jan-2007
1588711287 ANTHONEY T TENG Acupuncturist 8500 WILSHIRE BLVD, SUITE 518
BEVERLY HILLS, CA, United States
04-Jan-2007

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:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
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:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
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