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KIDS DOC PEDIATRICS
NPI 1609151315
Pediatrics in Gainesville, FL

Active since October 13, 2011CLIA 10D1069582 · Waiver
6440 W NEWBERRY RD, SUITE 105, GAINESVILLE, FL 32605(352) 332-4400 Get Directions Write a Review

NPPES record last updated: October 13, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kids Doc Pediatrics NPPES

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

KIDS DOC PEDIATRICS (NPI 1609151315) is a healthcare organization registered as a pediatrics in Gainesville, Florida and active in the NPI registry since October 2011. The organization holds a CLIA Waiver certificate valid through June 7, 2027 and lists Luis E Scaccabarrozzi, Owner, as its authorized official.

NPPES Registry Identity

NPI1609151315
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameKIDS DOC PEDIATRICS
Location Address6440 W NEWBERRY RD, SUITE 105Gainesville, FL 32605-4381
Mailing Address6440 W Newberry Rd, Suite 105Gainesville, FL 32605-4381 · (352) 332-4400
Phone(352) 332-4400
Organization SubpartNo
Authorized OfficialLuis E ScaccabarrozziOwner · (352) 332-4400
Enumeration DateOctober 13, 2011
✔ NPI 1609151315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
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.
6440 W NEWBERRY RD, Gainesville, FL 32605
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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

CLIA Laboratory Certificates CMS CLIA

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 Waiver 10D1069582

Kids Doc Pediatrics · Gainesville, FL
Active · expires Jun 7, 2027
CLIA Number10D1069582
Laboratory TypePhysician Office
Certificate Effective DateJune 8, 2025
Certificate Expiration DateJune 7, 2027
Laboratory DirectorLuis E. Scaccabarrozzi
Laboratory Phone(352) 331-8167
Laboratory LocationKids Doc Pediatrics6400 W Newberry Rd Ste 109, Gainesville, FL 32605
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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.

STEPHEN SMYTH BEEBE MD FACP
Pediatrics (Adolescent Medicine)
6440 W NEWBERRY RD, #402
GAINESVILLE, FL 32605
Alachua County (352) 333-5500
DR. CHARLES T KLODELL JR. MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
6440 W NEWBERRY RD, SUITE 102
GAINESVILLE, FL 32605
Alachua County (352) 333-5610
KRISTIN FOERSTER ARNP
Nurse Practitioner (Obstetrics & Gynecology)
6440 W NEWBERRY RD, SUITE 508
GAINESVILLE, FL 32605
Alachua County (352) 332-7222
JEAN COOK M.D.
Obstetrics & Gynecology
6440 W NEWBERRY RD, SUITE 508
GAINESVILLE, FL 32605
Alachua County (352) 332-7222
DR. GREGORY J BAILEY MD
Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)
6440 W NEWBERRY RD, #409
GAINESVILLE, FL 32605
Alachua County (352) 333-6161
SANDRA CONNELL CST
Registered Nurse
6440 W NEWBERRY RD, SUITE 401
GAINESVILLE, FL 32605
Alachua County (352) 332-0030
CAROLE A KALIVODA ARNP
Nurse Practitioner
6440 W NEWBERRY RD, SUITE 409
GAINESVILLE, FL 32605
Alachua County (352) 333-6161
DR. ERIC W SCOTT MEDICAL DOCTOR
Neurological Surgery
6440 W NEWBERRY RD, SUITE 401
GAINESVILLE, FL 32605
Alachua County (352) 332-0030

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 Kids Doc Pediatrics's NPI number?

The NPI number for Kids Doc Pediatrics is 1609151315. It was assigned to this organization in the NPPES registry on October 13, 2011.

Where is Kids Doc Pediatrics located?

Kids Doc Pediatrics is located at 6440 W Newberry Rd Suite 105, Gainesville, FL 32605. The listed phone number is (352) 332-4400.

What is Kids Doc Pediatrics's specialty?

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

Does Kids Doc Pediatrics hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1069582) is associated with this NPI, valid through June 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Kids Doc Pediatrics was last updated on October 13, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.