CHILDEN'S COMMUNITY CARE (NPI# 1063429678) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063429678 |
| Entity Type | Organization |
| Organization Name | CHILDEN'S COMMUNITY CARE |
| Other Organization Name | CHILDREN'S COMMUNITY PEDIATRICS |
| Practice Address |
1600 Coraopolis Heights Rd Ste E Moon Township PA 15108-4316 |
| Mailing Address |
11279 Perry Hwy Suite 450 Wexford PA 15090-9381 |
| Practice Telephone | 4122622415 |
| Practice Fax Number | 4122621537 |
| Mailing Telephone | 7249331100 |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2020-05-07 |
| Authorized Official Name | LORI GIVENS (EXECUTIVE ADMINISTRATOR) |
| Authorized Official Telephone | 7249331100 |
| 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 |
|---|---|---|---|
| PA | HIGHMARK ID# | 000101483 | 01 |
| Other Name | Type Code |
|---|---|
| Children's Community Pediatrics | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548809494 | Childen's Community Care | Pediatrics | 1811 Boulevard of The Allies Ste 200, Pittsburgh, PA 15219-5964 | 2019-12-24 |
| 1386114106 | Childen's Community Care | Pediatrics | 1 Corporate Dr Ste 109, Bedford, PA 15522-7983 | 2018-12-05 |
| 1568981645 | Childen's Community Care | Pediatrics | 363 Vanadium Rd Ste 104, Pittsburgh, PA 15243-1477 | 2017-09-11 |
| 1992364475 | Childen's Community Care | Pediatrics | 8105 Adams Dr Ste A, Hummelstown, PA 17036-8625 | 2019-06-10 |
| 1710440789 | Childen's Community Care | Pediatrics | 3720 Market St, Camp Hill, PA 17011-4325 | 2019-04-08 |
| 1841758885 | Childen's Community Care | Pediatrics | 3720 Market St, Camp Hill, PA 17011-4325 | 2019-03-08 |
| 1225541717 | Childen's Community Care | Pediatrics | 3068 Innovation Way, Hermitage, PA 16148-7906 | 2017-11-07 |
| 1518477710 | Childen's Community Care | Pediatrics | 3135 Wilmington Rd, New Castle, PA 16105-1179 | 2017-10-03 |
| 1619495926 | Childen's Community Care | Pediatrics | 675 N Broad Street Ext Ste 5, Grove City, PA 16127-5805 | 2017-09-07 |
| 1154849461 | Childen's Community Care | Pediatrics | 202 Spruce Dr, Slippery Rock, PA 16057-1412 | 2017-09-07 |
| Street Address |
1600 CORAOPOLIS HEIGHTS RD STE E |
| City | MOON TOWNSHIP |
| State | PA |
| Zip Code | 15108-4316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568431757 | Amy Landis | Nurse Practitioner | 1600 Coraopolis Heights Rd Ste E, Moon Township, PA 15108-4316 | 2006-03-17 |
| 1386158400 | Jenna E Muraco | Nurse Practitioner | 1600 Coraopolis Heights Rd Ste E, Moon Township, PA 15108-4316 | 2017-11-28 |
| 1134631245 | Brian Casey | Physician Assistant | 1600 Coraopolis Heights Rd Ste E, Moon Township, PA 15108-4316 | 2017-10-30 |
| 1386156891 | Mitchell S Mctavish | Physician Assistant | 1600 Coraopolis Heights Rd Ste E, Moon Township, PA 15108-4316 | 2017-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215550082 | Erin Larue | Counselor | 1010 Brodhead Rd., 2nd Floor, Moon Township, PA 15108 | 2020-05-27 |
| 1457986721 | Favored Wellness Counseling and Consulting, LLC | Counselor | 1010 Broadhead Road, 2nd Floor, Moon Township, PA 15108 | 2020-03-07 |
| 1023597937 | Jessica Marie Neff | Pharmacist | 217 Beagle Drive, Moon Township, PA 15108 | 2018-08-10 |
| 1992281125 | Aurora Recovery Services, LLC | Family Medicine | 993 Brodhead Rd Ste 201, Moon Twp, PA 15108 | 2018-07-11 |
| 1134611916 | Michaela Marie Stubna | Occupational Therapy Assistant | 54 Long Valley, Coraopolis, PA 15108 | 2018-06-06 |
| 1063924520 | Tammy Lynne Rink | Counselor | 1555 Brodhead Rd, Moon Township, PA 15108 | 2017-10-24 |
| 1194243584 | Anthony Joseph Decarlo | Specialist/Technologist | 48 Laurel Ridge Rd, Coraopolis, PA 15108 | 2017-09-06 |
| 1114479102 | Daniel R Fuller Jr. | Pharmacist | 7500 Univsersity Blvd., Moon Township, PA 15108 | 2016-10-26 |
| 1043768823 | Kelsey Kelleher | Physical Therapist | 100 Corporate Center Dr Ste 115, Coraopolis, PA 15108 | 2016-09-21 |
| 1518325208 | Elizabeth Thomeier Dornetto | Counselor | 993 Brodhead Rd Ste 203, Coraopolis, PA 15108 | 2016-02-09 |
| Find all providers in zip 15108 | ||||
| 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 |
|---|---|---|---|---|
| 1023005618 | Theresa Marie Crocenelli | Pediatrics | 974 Beaver Grade Rd, Moon Township, PA 15108-2746 | 2005-09-29 |
| 1154671360 | West Hills Pediatrics | Pediatrics | 974 Beaver Grade Rd, Moon Township, PA 15108-2746 | 2012-09-14 |
| 1649477910 | Amanda Marie Kramer | Pediatrics | 1600 Coraopolis Heights Rd, Suite E, Moon Township, PA 15108-4316 | 2007-06-29 |
| 1588861967 | Joseph E Gatial IIi | Pediatrics | 1600 Coraopolis Heights Rd, Moon Township, PA 15108-4316 | 2007-06-29 |
| 1639376346 | Bradley Robert Kramer | Pediatrics | 1600 Coraopolis Heights Rd, Suite E, Moon Township, PA 15108-4316 | 2007-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093321622 | St Luke's Physician Group Inc | Pediatrics | 514 Delaware Ave, Fountain Hill, PA 18015-1104 | 2020-09-18 |
| 1972138204 | Margarita Bello | Pediatrics | 448 Walton Ave Unit 217, Hummelstown, PA 17036-4010 | 2020-03-06 |
| 1548809494 | Childen's Community Care | Pediatrics | 1811 Boulevard of The Allies Ste 200, Pittsburgh, PA 15219-5964 | 2019-12-24 |
| 1164069241 | Ayala Laufer-cahana | Pediatrics | 647 Montgomery School Ln, Wynnewood, PA 19096-1013 | 2019-12-08 |
| 1023652708 | Pediatric Care Group, P.C. | Pediatrics | 890 2nd Street Pike Ste 904, Richboro, PA 18954-1021 | 2019-11-05 |
| 1861036279 | Stc Pediatrics LLC | Pediatrics | 300 E Hunting Park Ave, Philadelphia, PA 19124-6018 | 2019-10-30 |
| 1679115760 | Rural Health Corporation of Northeastern Pennsylvania | Pediatrics | 1730 E Broad St Ste 2, Hazleton, PA 18201-5657 | 2019-10-10 |
| 1003462797 | Lucyndia Rose Marino | Pediatrics | 130 Classic Ln, New Castle, PA 16105-5304 | 2019-08-18 |
| 1861048803 | Geisinger Clinic | Pediatrics | 55 Medical Drive, Lewisburg, PA 17837-6343 | 2019-08-15 |
| 1447818729 | Elizabeth Edmondston Tarr | Pediatrics | 3401 Civic Center Blvd Fl 9nw55, Philadelphia, PA 19104-4319 | 2019-06-03 |
| Find all providers with the same taxonomy | ||||
| City | MOON TOWNSHIP |
| Zip Code | 15108 |
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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.