COUNTRY CREEK PEDIATRICS, PLLC (NPI# 1194792168) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194792168 |
| Entity Type | Organization |
| Organization Name | COUNTRY CREEK PEDIATRICS, PLLC |
| Practice Address |
4986 N Adams Rd Suite C Rochester MI 48306-1416 |
| Practice Telephone | 2484755601 |
| Practice Fax Number | 2484755632 |
| Mailing Telephone | 2484755601 |
| Mailing Fax Number | 2484755632 |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ELZBIETA ANNA ROZMIEJ (MANAGER) |
| Authorized Official Telephone | 2484755601 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Street Address |
4986 N ADAMS RD SUITE C |
| City | ROCHESTER |
| State | MI |
| Zip Code | 48306-1416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831665892 | Nicole Briggs | Health Educator | 4986 N Adams Rd, Rochester, MI 48306-5017 | 2018-10-17 |
| 1053896225 | Erica Anne Ross | Health Educator | 4986 N Adams Rd, Rochester, MI 48306-5017 | 2018-10-03 |
| 1952886376 | Katherine Marlinga | Health Educator | 4986 N Adams Rd, Rochester, MI 48306-5017 | 2018-10-02 |
| 1851876353 | Kathryn Correll | Health Educator | 4986 N Adams Rd, Rochester, MI 48306-5017 | 2018-10-01 |
| 1609372010 | Yang Yang | Health Educator | 4986 N Adams Rd, Rochester, MI 48306-5017 | 2018-04-04 |
| 1245739960 | Andrea Mary Venettis | Nurse Practitioner | 4986 N Adams Rd, Rochester, MI 48306-5017 | 2018-02-08 |
| 1891293973 | Carolynne Coleman | Registered Nurse | 4986 N Adams Rd, Rochester, MI 48306-5017 | 2018-01-24 |
| 1346763885 | Evon Kashat | Family Medicine | 4986 N Adams Rd, Rochester, MI 48306-5017 | 2017-07-17 |
| 1609317981 | Lusilda Agolli | Community Health Worker | 4986 N Adams Rd, Suite D, Rochester, MI 48306-5017 | 2017-03-20 |
| 1932566460 | Mihe Ph Dpp | Nutritionist | 4986 N Adams Rd, Suite D, Rochester, MI 48306-5017 | 2016-01-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750887188 | Richard Beck | Health Educator | 4986 N Adams Rd Suite D, Rochester, MI 48306 | 2018-04-04 |
| 1245733484 | Christopher C Smith | Registered Nurse | 2451 Westwood Dr, Rochester Hills, MI 48306 | 2018-03-14 |
| 1598268096 | Janet Miller Kniahymycky | Counselor | 3680 Edinborough Drive, Rochester Hills, MI 48306 | 2018-03-12 |
| 1477076750 | Laura Beth Leblanc | Dietitian, Registered | 4859 Freer Street, Rochester, MI 48306 | 2017-07-19 |
| 1477909141 | Danielle Monette | Technician, Other | 1918 Watson Circle, Rochester, MI 48306 | 2016-05-11 |
| 1881053254 | Autumn Fick | Social Worker | 3901 Beaubein Blvd, Children's Hospital of Mi, Detroit, MI 48306 | 2016-02-15 |
| 1538569959 | Margaret Smyth | Registered Nurse | 4986 Adams Rd, Suite D, Rochester, MI 48306 | 2014-09-04 |
| 1730433178 | Kendall Rose Lalko | Dietitian, Registered | 4986 Adams Road, Rochester, MI 48306 | 2012-11-07 |
| 1558691378 | Juliet Rachal Cumming | Residential Treatment Facility, Physical Disabilities | 2728 Partridge Dr., Rochester, MI 48306 | 2009-12-29 |
| 1073780300 | Cynthia Jean Gardiner | Pharmacist | 6970 N Rochester Rd, Rochester, MI 48306 | 2008-05-15 |
| Find all providers in zip 48306 | ||||
| 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 |
|---|---|---|---|---|
| 1598244212 | Syed Siraj Masood, Md, PC | Pediatrics | 1295 Portland Ave Ste 17, Rochester, NY 14621-2726 | 2018-08-13 |
| 1851896187 | Hamdi A Ali | Pediatrics | 26 Mayo Park Dr Se, Rochester, MN 55904 | 2018-03-28 |
| 1427565613 | Legacy Pediatrics LLC | Pediatrics | 1815 Clinton Ave S Ste 360, Rochester, NY 14618-5725 | 2018-01-09 |
| 1932561073 | Legacy Pediatrics | Pediatrics | 1815 South Clinton Avenue Ste 360, Rochester, NY 14618 | 2016-03-28 |
| 1558780809 | Christina Wu | Pediatrics | 1425 Portland Ave # 228, Rochester, NY 14621-3001 | 2014-04-15 |
| 1356785059 | Adria Lara Roberti Miller | Pediatrics | 1815 S Clinton Ave Ste 310, Rochester, NY 14618 | 2013-04-24 |
| 1295001543 | Karla Suter | Pediatrics | 1800 English Rd., Rochester, NY 14616-0001 | 2012-03-30 |
| 1780950139 | Rachel Diamond | Pediatrics | 1425 Portland Ave Ste 300, Rochester, NY 14621-3001 | 2012-03-30 |
| 1861791485 | Regina Kay Rowe | Pediatrics | Pediatric Infectious Diseases 601 Elmwood Avenue, Rochester, NY 14642 | 2011-03-22 |
| 1164727475 | Irondequoit Pediatrics, Pllc | Pediatrics | 809 East Ridge Road, Rochester, NY 14621-1710 | 2011-01-18 |
| Find all providers in ROCHESTER | ||||
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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.