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EAST LAKE PEDIATRICS
NPI 1144343617
Pediatrics in Trinity, FL

Active since April 09, 2007CLIA Certified · 2 labs
2137 LITTLE RD, TRINITY, FL 34655(727) 372-6760(727) 372-6808 Get Directions Write a Review

NPPES record last updated: February 14, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About East Lake Pediatrics NPPES

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

EAST LAKE PEDIATRICS (NPI 1144343617) is a healthcare organization registered as a pediatrics in Trinity, Florida and active in the NPI registry since April 2007. The organization holds 2 active CLIA laboratory certificates, maintains 2 additional practice locations, and lists Melissa Marie Montgomery, Manager, as its authorized official.

NPPES Registry Identity

NPI1144343617
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameEAST LAKE PEDIATRICS
Location Address2137 LITTLE RDTrinity, FL 34655-4410
Mailing Address2137 Little RdTrinity, FL 34655-4410 · (727) 372-6760 · Fax (727) 372-6808
Phone(727) 372-6760
Fax(727) 372-6808
Organization SubpartNo
Authorized OfficialMelissa Marie MontgomeryManager · (727) 372-6760
Enumeration DateApril 9, 2007
Last NPPES UpdateFebruary 14, 2024
NPPES CertifiedFebruary 14, 2024
✔ NPI 1144343617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in FL · ME86866
Definition
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.
2137 LITTLE RD, Trinity, FL 34655
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Secondary Practice Locations 2

Location 14156 Woodlands Pkwy Ste BPalm Harbor, FL 34685-3478 · Phone (727) 372-6760 · Fax (727) 372-6808
Location 2200 Pine Ave N Ste AOldsmar, FL 34677-4646 · Phone (727) 372-6760 · Fax (727) 372-6808

Other Identifiers 1

OtherOS9496FL · License Number

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 10D1030051

East Lake Pediatrics · Palm Harbor, FL
Active · expires Apr 3, 2028
CLIA Number10D1030051
Laboratory TypePhysician Office
Certificate Effective DateApril 4, 2026
Certificate Expiration DateApril 3, 2028
Laboratory DirectorDr. Michael C. Jordan
Laboratory Phone(727) 372-6760
Laboratory LocationEast Lake Pediatrics4156 Woodlands Pkwy Ste B, Palm Harbor, FL 34685
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 10D2103179

East Lake Pediatrics · Oldsmar, FL
Active · expires Jun 11, 2027
CLIA Number10D2103179
Laboratory TypePhysician Office
Certificate Effective DateJune 12, 2025
Certificate Expiration DateJune 11, 2027
Laboratory DirectorMichael C. Jordan
Laboratory Phone(727) 372-6760
Laboratory LocationEast Lake Pediatrics200 Pine Ave N Suite A, Oldsmar, FL 34677
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 10D1082218

East Lake Pediatrics PA · Trinity, FL
Expired · Aug 5, 2026
CLIA Number10D1082218
Laboratory TypePhysician Office
Certificate Effective DateAugust 6, 2024
Certificate Expiration DateAugust 5, 2026
Laboratory DirectorDr. Michael C. Jordan
Laboratory Phone(727) 372-6760
Laboratory LocationEast Lake Pediatrics PA2137 Little Rd, Trinity, FL 34655
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 8

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

DR. CHRISTOPHER SMITH
Pediatrics
2137 LITTLE RD
TRINITY, FL 34655
Pasco County (727) 372-6760
JENNIFER LEE LEAL A.R.N.P
Nurse Practitioner (Primary Care)
2137 LITTLE RD
TRINITY, FL 34655
Pasco County (727) 372-6760
DR. MICHAEL COUZENS JORDAN MD
Pediatrics
2137 LITTLE RD
TRINITY, FL 34655
Pasco County (727) 372-6760
CARY A AUNGST MD
Pediatrics
2137 LITTLE RD
TRINITY, FL 34655
Pasco County (727) 372-6760
JULIE A WALTERS M.D.
Pediatrics
2137 LITTLE RD
TRINITY, FL 34655
Pasco County (727) 372-6760
DR. JESSICA ILENE SMITH M.D.
Pediatrics
2137 LITTLE RD
TRINITY, FL 34655
Pasco County (727) 372-6760
LEAH R MCCORMACK PNP
Nurse Practitioner (Pediatrics)
2137 LITTLE RD
TRINITY, FL 34655
Pasco County (727) 372-6760
LACEY T HODGSON ARNP
Nurse Practitioner (Pediatrics)
2137 LITTLE RD
TRINITY, FL 34655
Pasco County (727) 372-6760

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 East Lake Pediatrics's NPI number?

The NPI number for East Lake Pediatrics is 1144343617. It was assigned to this organization in the NPPES registry on April 9, 2007.

Where is East Lake Pediatrics located?

East Lake Pediatrics is located at 2137 Little Rd, Trinity, FL 34655. The listed phone number is (727) 372-6760.

What is East Lake Pediatrics's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does East Lake Pediatrics hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does East Lake Pediatrics accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Florida Blue (BlueCross BlueShield FL) and 2 other insurers list East Lake Pediatrics 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 East Lake Pediatrics was last updated on February 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.