CEREAL CITY PEDIATRICS (NPI# 1033155692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033155692 |
| Entity Type | Organization |
| Organization Name | CEREAL CITY PEDIATRICS |
| Practice Address |
2545 Capital Ave Sw Battle Creek MI 49015-7120 |
| Mailing Address |
2545 Capital Ave S.w. Battle Creek MI 49015 |
| Practice Telephone | 2699698723 |
| Practice Fax Number | 2699698724 |
| Mailing Telephone | 2699698723 |
| Mailing Fax Number | 2699698724 |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2008-09-24 |
| Authorized Official Name | MRS. DIANE THOMAS (OFFICE MANAGER) |
| Authorized Official Telephone | 2699698723 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE CROSS BLUE SHIELD | 350A349860 | 01 |
| Street Address |
2545 CAPITAL AVE SW |
| City | BATTLE CREEK |
| State | MI |
| Zip Code | 49015-7120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639179146 | Shohreh Moazami Iv | Pediatrics | 2545 Capital Ave Sw, Suite 201, Battle Creek, MI 49015-7120 | 2005-07-26 |
| 1104392943 | Battle Creek Family Care | Family Medicine | 2545 Capital Ave Sw, Ste 201, Battle Creek, MI 49015 | 2018-10-19 |
| 1588935753 | Danielle Marie Everett | Registered Nurse | 2545 Capital Ave Sw, Battle Creek, MI 49015-7120 | 2012-01-20 |
| 1629349733 | Amy Lynn Goff | Licensed Practical Nurse | 2545 Capital Ave Sw, Battle Creek, MI 49015-7120 | 2012-01-20 |
| 1730355918 | Martha Phelps Kelly | Physician Assistant | 2545 Capital Ave Sw, Battle Creek, MI 49015-7120 | 2008-05-07 |
| 1982870176 | Acacia Leigh Burrows | Physician Assistant | 2545 Capital Ave Sw, Battle Creek, MI 49015-7120 | 2008-05-07 |
| 1245406669 | Lisa Darlene Lehman | Physician Assistant | 2545 Capital Ave Sw, Battle Creek, MI 49015-7120 | 2008-05-06 |
| 1467628883 | Larry K Keefer | Nurse Practitioner | 2545 Capital Ave Sw, Battle Creek, MI 49015-7120 | 2008-05-06 |
| 1215956933 | David Harley Long | Dentist | 2545 Capital Ave Sw, Battle Creek, MI 49015-7120 | 2006-07-19 |
| 1891781944 | Travis D Terrell | Obstetrics & Gynecology | 2545 Capital Ave Sw, Suite 207, Battle Creek, MI 49015 | 2005-09-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669020897 | Marcia Diane Alvarez | Technician | 515 Country Club Blvd, Battle Creek, MI 49015 | 2019-08-30 |
| 1508382540 | Ariel Lynn Jurban | Social Worker | 778 West Columbia Avenue, Battle Creek, MI 49015 | 2017-08-22 |
| 1780139543 | Cardiovascular Ultrasound Solutions, LLC | Spec/Tech, Cardiovascular | 77 South 20th Street, Cardio Suite, Battle Creek, MI 49015 | 2016-08-22 |
| 1487006953 | Ryan Lash | Hearing Instrument Specialist | 5475 Beckley Rd Suite 150, Battle Creek, MI 49015 | 2016-07-08 |
| 1962867150 | Lee Taylor Kuhn | Social Worker | 778 W. Columbia Ave, Battle Creek, MI 49015 | 2015-12-15 |
| 1306212022 | Teresa Wagner | Licensed Practical Nurse | 131 E Columbia Ave., Suite 115, Battle Creek, MI 49015 | 2015-08-17 |
| 1194101311 | Brittany Rene Kruger | Legal Medicine | 75 Mines Creek Pl, Battle Creek, MI 49015 | 2015-08-11 |
| 1164807103 | Timothy Meyer | Social Worker | 778 W Columbia Ave, Battle Creek, MI 49015 | 2015-07-20 |
| 1932534872 | Meggan Rae Volz | Physician Assistant | 5332 Beckly Road, Battle Creek, MI 49015 | 2013-09-11 |
| 1578902235 | Luiz Fernando Pantalena | Dentist | 2245 W. Columbia Ave, Suite 101, Battle Creek, MI 49015 | 2013-06-17 |
| Find all providers in zip 49015 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376839407 | Sarah Servinsky Lighthizer | Pediatrics | 265 Fremont St Ste 1, Battle Creek, MI 49017-3354 | 2011-06-27 |
| 1073849766 | Alfred Hamady | Pediatrics | 209 E. Emmett, Battle Creek, MI 49017 | 2009-10-30 |
| 1326048943 | John S Dolbee | Pediatrics | 4520 Beckley Rd, Battle Creek, MI 49015-7941 | 2005-07-26 |
| 1639179146 | Shohreh Moazami Iv | Pediatrics | 2545 Capital Ave Sw, Suite 201, Battle Creek, MI 49015-7120 | 2005-07-26 |
| 1467716522 | Eric Thomas Bryant | Pediatrics | 4520 Beckley Rd, Battle Creek, MI 49015-7941 | 2012-07-03 |
| 1598056251 | Kelli Collins | Pediatrics | 181 Emmett St W, Battle Creek, MI 49037-2963 | 2011-04-28 |
| 1811217755 | Allison Dolbee Halonen | Pediatrics | 4520 Beckley Rd, Battle Creek, MI 49015-7941 | 2010-06-02 |
| 1215139449 | Elizabeth Ann Mettler | Pediatrics | 181 W Emmett St, Battle Creek, MI 49037-2963 | 2007-06-01 |
| 1255449682 | Lorna L Foster | Pediatrics | 181 W Emmett St, Battle Creek, MI 49037-2963 | 2006-08-27 |
| 1972565513 | Samuel L Grossman | Pediatrics | 181 W Emmett St, Battle Creek, MI 49037-2963 | 2006-04-06 |
| Find all providers in BATTLE CREEK | ||||
| City | BATTLE CREEK |
| Zip Code | 49015 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.