PEDIATRIC SURGICAL GROUP, P.A.
NPI 1033194816
Surgery - Pediatric Surgery in St Petersburg, FL

Q: What is Pediatric Surgical Group, P.A.'s NPI number?

The NPI number for Pediatric Surgical Group, P.A. is 1033194816. It was assigned to this organization in the NPPES registry on December 14, 2005.

Q: What is Pediatric Surgical Group, P.A.'s specialty?

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

Active since December 14, 2005

880 6TH ST S, SUITE 210, ST PETERSBURG, FL 33701(727) 767-4170(727) 767-4346 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Pediatric Surgical Group, P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PEDIATRIC SURGICAL GROUP, P.A. (NPI 1033194816) is a healthcare organization registered as a pediatric surgery in St Petersburg, Florida and active in the NPI registry since December 2005. The organization lists Cathy Clark, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1033194816

Entity TypeOrganization

Primary Taxonomy2086S0120X

Legal Business NamePEDIATRIC SURGICAL GROUP, P.A.

Location Address880 6TH ST S, SUITE 210St Petersburg, FL 33701-4827

Mailing Address880 6th St S, Suite 210St Petersburg, FL 33701-4827 · (727) 767-4170 · Fax (727) 767-4346

Phone(727) 767-4170

Fax(727) 767-4346

Organization SubpartNo

Authorized OfficialCathy ClarkPractice Manager · (727) 767-3221

Enumeration DateDecember 14, 2005

Last NPPES UpdateAugust 22, 2020

✔ NPI 1033194816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0120X

License✔ Licensed in FL · ME0055290

Definition

A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

880 6TH ST S, St Petersburg, FL 33701

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JASON WOODELL PTA

Physical Therapy Assistant

880 6TH ST S
ST PETERSBURG, FL 33701

Pinellas County (407) 432-9290

CHRISTINA ADAMS MS CCC-A

Audiologist

880 6TH ST S, SUITE 170
ST PETERSBURG, FL 33701

Pinellas County (727) 767-8989

NICOLE BLOCK MS CF-SLP

Speech-Language Pathologist

880 6TH ST S
ST PETERSBURG, FL 33701

Pinellas County (727) 898-7451

DR. MARK ALLEN CAVITT M.D.

Psychiatry & Neurology (Child & Adolescent Psychiatry)

880 6TH ST S, SUITE 110
ST PETERSBURG, FL 33701

Pinellas County (727) 767-8477

DR. JENNIFER MARGARET KATZENSTEIN PH.D.

Clinical Neuropsychologist

880 6TH ST S, SUITE 420
ST PETERSBURG, FL 33701

Pinellas County (727) 767-8477

MS. LINDSAY ANN BOLT AUD

Audiologist

880 6TH ST S
SAINT PETERSBURG, FL 33701

Pinellas County (727) 767-8989

TIFFANY N GOODING PT

Physical Therapist

880 6TH ST S, DRSA #00-7700
ST PETERSBURG, FL 33701

Pinellas County (727) 767-3231

TROY A BECKER M.S.

Genetic Counselor, MS

880 6TH ST S, SUITE 240
ST PETERSBURG, FL 33701

Pinellas County (727) 767-8491

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pediatric Surgical Group, P.A.'s NPI number?

The NPI number for Pediatric Surgical Group, P.A. is 1033194816. It was assigned to this organization in the NPPES registry on December 14, 2005.

Where is Pediatric Surgical Group, P.A. located?

Pediatric Surgical Group, P.A. is located at 880 6th St S Suite 210, St Petersburg, FL 33701. The listed phone number is (727) 767-4170.

What is Pediatric Surgical Group, P.A.'s specialty?

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

What insurance does Pediatric Surgical Group, P.A. accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Pediatric Surgical Group, P.A. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pediatric Surgical Group, P.A. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.