OrganizationActive
Tae Y Rho MD PA
NPI 1174624902 · Pediatrics Physician · Fernandina Beach, FL
Tae Y Rho MD PA is a Pediatrics Physician organization in Fernandina Beach, FL (NPI 1174624902).
Provider details
- NPI number
- 1174624902
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Tae Rho, President(904) 261-7707
- License
- ME032490 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1250 S 18th St
Suite 201
Fernandina Beach, FL 32034
Phone: (904) 261-7707
Fax: (904) 261-8616
Street-level locationGet directions
Mailing address
1250 S 18th St
Fernandina Beach, FL 32034
Registry dates
- Enumerated
- 2006-09-26
- Last updated
- 2020-08-22
Frequently asked questions
- What is Tae Y Rho MD PA's NPI number?
- Tae Y Rho MD PA's National Provider Identifier (NPI) is 1174624902, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Tae Y Rho MD PA?
- Tae Y Rho MD PA is classified in the NPPES registry as Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Tae Y Rho MD PA located?
- Tae Y Rho MD PA's practice location on file with NPPES is 1250 S 18th St, Fernandina Beach, FL 32034.
- What is Tae Y Rho MD PA's phone number?
- The practice phone number listed in the NPPES registry for Tae Y Rho MD PA is (904) 261-7707.
- Who is the authorized official for Tae Y Rho MD PA?
- The authorized official listed on Tae Y Rho MD PA's NPPES record is Tae Rho, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Tae Y Rho MD PA's NPI active?
- Yes — Tae Y Rho MD PA's NPI (1174624902) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.