Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1720082076 Individual Practitioner Female Practitioner

Dr. Kasey A Statum , MD

Pediatrics • Lakeland, FL

Professional Overview & Biography Verified Profile Summary

Dr. Kasey Statum, MD is a registered healthcare professional specializing in Pediatrics in Lakeland, FL. Practice services are available at 1500 LAKELAND HILLS BLVD STE 1 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1500 Lakeland Hills Blvd Ste 1

Lakeland, FL 338053257

Telephone 8322424735
Fax 2393021344
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Lakeland, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 30.0 Yrs
State Avg: 22.2 Yrs
Regional Practice Density
47 Specialists

Practicing in Lakeland, FL (4160 Statewide)

Telehealth Adoption Rate
2.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-06-30
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License FL ME114685

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.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License WV 21877

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.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License VA 0101246540

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.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License NY 227551

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
3810003695 (WV)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location June 30, 2020

Registered at 1500 LAKELAND HILLS BLVD STE 1, LAKELAND, FL 338053257 (Tel: 8322424735)

📍
Updated Business Mailing Address June 30, 2020

Registered at 4437 N CANDLEWOOD DR, BEVERLY HILLS, FL 344658907 (Tel: 3012544316)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 30, 2020

Pediatrics (License #21877 in WV)

NPI Profile Active February 09, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location February 09, 2012

Registered at 809 MEDICAL DR, SUITE 1 PEDIATRICS, GLENVILLE, WV 263511274 (Tel: 3044625909)

📍
Updated Business Mailing Address February 09, 2012

Registered at 7 LORENTZ DR, FRONT, GLENVILLE, WV 263511272 (Tel: 3012544316)

👤
Provider Name / Credentials Updated February 09, 2012

Recorded as KASEY STATUM, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 09, 2012

Pediatrics (License #21877 in WV)

🟢
Initial NPI Registration & Enumeration June 01, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1720082076
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 01, 2005
Last Update: November 27, 2023
Sole Proprietor: No

Mailing Address

4437 N Candlewood Dr

Beverly Hills, FL 344658907

Phone: 3012544316

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.