MEREDITH JANE KIESCHNICK (NPI# 1255490876) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255490876 |
| Entity Type | Individual |
| Full Name | MEREDITH JANE KIESCHNICK |
| Credential | MD |
| Practice Address |
962 Sebastopol Rd Roseland Clinic Santa Rosa CA 95407 |
| Mailing Address |
2433 Coffee Lane Sebastopol CA 95472 |
| Practice Telephone | 7075782005 |
| Practice Fax Number | 7075788037 |
| Mailing Telephone | 7074847944 |
| Mailing Fax Number | 7075788037 |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | G60980 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
962 SEBASTOPOL RD ROSELAND CLINIC |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255571238 | Kim Hansen | Nurse Practitioner | 962 Sebastopol Rd, Santa Rosa, CA 95407-6829 | 2009-03-03 |
| 1841430832 | Colleen Meseroll | Nurse Practitioner | 962 Sebastopol Rd, Santa Rosa, CA 95407-6829 | 2009-03-03 |
| 1306086392 | Lisa Hauptman | Nurse Practitioner | 962 Sebastopol Rd, Santa Rosa, CA 95407-6829 | 2009-03-03 |
| 1619189388 | Deirdre Bernard Pearl | Pediatrics | 962 Sebastopol Rd, Santa Rosa, CA 95407-6829 | 2007-05-04 |
| 1598807190 | Community Action Partnership of Sonoma County | Clinic/Center | 962 Sebastopol Rd, Santa Rosa, CA 95407-6829 | 2007-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972100477 | Charrise Reece | Case Management | 935 S Davis, Santa Rosa, CA 95407 | 2020-10-07 |
| 1629687256 | Suzel Anne-marie Deer | Registered Nurse | 1017 Stony Point Rd, Santa Rosa, CA 95407 | 2020-07-29 |
| 1285152884 | Mercedes Zipperle | Specialist/Technologist | 638 Athena Pl, Santa Rosa, CA 95407 | 2017-09-03 |
| 1235664988 | Priceless Transport Care LLC | Non-emergency Medical Transport (VAN) | 661 Powderhorn Ave, Santa Rosa, CA 95407 | 2017-05-01 |
| 1780139634 | Robin Shank Sanderson | Nurse Practitioner | 751 Lombardi, Santa Rosa, CA 95407 | 2016-08-22 |
| 1205207321 | Flaman Craig Mccloud Jr. | Counselor | 440 Arrowood Dr., Santa Rosa, CA 95407 | 2015-10-15 |
| 1548679400 | Jill Bauer | Dental Hygienist | 2740 Ironstone Circle, Santa Rosa, CA 95407 | 2014-08-05 |
| 1922413673 | Aurora Alejandra Gomez Selpides | Family Medicine | 2240 Mercury Way, Santa Rosa, CA 95407 | 2014-06-20 |
| 1508159955 | Luis Angel Gonzalez | Counselor | 1202 Apollo Way, Santa Rosa, CA 95407 | 2011-05-18 |
| 1326286295 | Kelly Alexis Rathmann | Social Worker | 3650 Standish Avenue, Santa Rosa, CA 95407 | 2009-01-29 |
| Find all providers in zip 95407 | ||||
| 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 |
|---|---|---|---|---|
| 1477709723 | Michael A Davis | Pediatrics | 575 Los Alamos Rd, Santa Rosa, CA 95409-4430 | 2008-08-18 |
| 1710014725 | Adrienne M Silver | Pediatrics | 3925 Old Redwood Highway, Santa Rosa, CA 95403 | 2007-02-27 |
| 1861576845 | Scott W. Fisher | Pediatrics | 3298 Montecito Meadow Dr, Santa Rosa, CA 95404-1849 | 2006-10-25 |
| 1225141245 | Urmila A. Shende | Pediatrics | 255 Farmers Ln, Santa Rosa, CA 95405-4721 | 2006-08-16 |
| 1548299266 | Morton Fredrick Brewer | Pediatrics | 3883 Airway Dr Ste 120, Santa Rosa, CA 95403-1678 | 2006-07-03 |
| 1124066808 | Drs. Ackley, Davis, Brewer, Miraglia, Anaka, Et Al. | Pediatrics | 1200 Sonoma Ave Ste 6, Santa Rosa, CA 95405-6664 | 2006-06-03 |
| 1881646677 | Pitr Gerard Conroy | Pediatrics | 98 Hendley St, Santa Rosa, CA 95404-5025 | 2006-05-17 |
| 1538138623 | Cynthia Wu | Pediatrics | 5794 Owl Hill Ave, Santa Rosa, CA 95409-4363 | 2006-03-14 |
| 1649259615 | Kristin Renee Steuerle | Pediatrics | 3925 Old Redwood Hwy, Stein Building, Kaiser Permanente Pediatrics, Santa Rosa, CA 95403-1719 | 2006-01-10 |
| 1043203946 | Daniel J Greenfield | Pediatrics | 500 Doyle Park Dr Ste 100, Santa Rosa, CA 95405 | 2005-08-25 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95407 |
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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.