PEDIATRIC SURGICAL GROUP, P.A. – Pediatric Surgery Physician, NPI 1033194816

PEDIATRIC SURGICAL GROUP, P.A. is a healthcare provider. based in St petersburg, Florida. specializing in Pediatric Surgery Physician. The organization holds a License No. ME0055290 (FL). The NPI Number for PEDIATRIC SURGICAL GROUP, P.A. is 1033194816

Main info

Organization
Name
PEDIATRIC SURGICAL GROUP, P.A.
NPI
1033194816
Phone
(727) 767-4170
Address
880 6TH ST S
Authorized Official
MRS. CATHY CLARK PRACTICE MANAGER
Enumeration Date
14 December 2005
Last Update Date
22 August 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for PEDIATRIC SURGICAL GROUP, P.A.

  • 880, 6th Street South, Roser Park, Saint Petersburg, Pinellas County, Florida, 33701, United States

    SUITE 210

    ST PETERSBURG, FL 337014827

    Phone: (727) 767-4170

    Fax: (727) 767-4346

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33701)

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Reviews

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Frequently asked questions

What NPI should I save for PEDIATRIC SURGICAL GROUP, P.A.?
Save NPI 1033194816 if you need a stable reference for PEDIATRIC SURGICAL GROUP, P.A..
Is PEDIATRIC SURGICAL GROUP, P.A. currently active in the NPI registry?
CMS-published data lists PEDIATRIC SURGICAL GROUP, P.A. as an active registrant.
Can you summarize PEDIATRIC SURGICAL GROUP, P.A.'s specialty in plain language?
Clinically, the directory lists PEDIATRIC SURGICAL GROUP, P.A. with Pediatric Surgery Physician. Clinical services aligned with this taxonomy classification.
Where is PEDIATRIC SURGICAL GROUP, P.A.'s primary listing?
We display St Petersburg, Florida because that is what the record indicates for PEDIATRIC SURGICAL GROUP, P.A..
Is PEDIATRIC SURGICAL GROUP, P.A. a real provider?
This page reflects official NPPES data for NPI 1033194816. Always confirm identity and privileges with the practice and licensing boards.

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