AURORA PEDIATRIC CLINIC SC (NPI# 1306829353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306829353 |
| Entity Type | Organization |
| Organization Name | AURORA PEDIATRIC CLINIC SC |
| Practice Address |
1300 N Highland Ave Ste 4 Aurora IL 60506-1451 |
| Practice Telephone | 6308967788 |
| Practice Fax Number | 6308967794 |
| Mailing Telephone | 6308967788 |
| Mailing Fax Number | 6308967794 |
| Enumeration Date | 2005-11-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. CRISPIN HAO (PEDIATRICIAN) |
| Authorized Official Telephone | 6308967788 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 36045223 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
1300 N HIGHLAND AVE STE 4 |
| City | AURORA |
| State | IL |
| Zip Code | 60506-1451 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366075152 | Tiffany Kozlick | Nurse Practitioner | 1300 N Highland Ave, Aurora, IL 60506-1451 | 2020-02-20 |
| 1487100632 | Sophal Martinez | Registered Nurse | 1300 N Highland Ave, 5, Aurora, IL 60506-1451 | 2016-08-28 |
| 1457627382 | Candice Phillips | Advanced Practice Midwife | 1300 N Highland Ave, Suite 5, Aurora, IL 60506-1451 | 2012-03-26 |
| 1013227214 | Sean Michael Rardin S.c. | Clinic/Center | 1300 N Highland Ave, Aurora, IL 60506-1451 | 2010-10-21 |
| 1407189731 | Starrett Medical Associates Sc | General Practice | 1300 N Highland Ave, Ste. 10, Aurora, IL 60506-1451 | 2009-09-18 |
| 1568586733 | Cristina S Brotea M D Sc | Family Medicine | 1300 N Highland Ave, Aurora, IL 60506-1451 | 2007-03-16 |
| 1346364502 | Cristina S Brotea | Family Medicine | 1300 N Highland Ave, Aurora, IL 60506-1451 | 2007-03-16 |
| 1871636670 | John William Lamiot | Podiatrist | 1300 N Highland Ave, Suite 7, Aurora, IL 60506-1451 | 2007-02-14 |
| 1427105022 | Josephine Mante | Family Medicine | 1300 N Highland Ave, Suite 2, Aurora, IL 60506-1451 | 2007-01-04 |
| 1487701082 | Dave Mante | Internal Medicine | 1300 N Highland Ave, Suite 2, Aurora, IL 60506-1451 | 2007-01-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225678121 | Yvette Velazquez | Non-emergency Medical Transport (VAN) | 1743 Plum St, Aurora, IL 60506 | 2020-01-09 |
| 1609420173 | Salma Hydari | Dentist | 1264 N Lake St., Aurora, IL 60506 | 2019-08-01 |
| 1720647092 | Tirumala Aggarwal | Dentist | Premier Dental, 1264 N Lake Street, Aurora, IL 60506 | 2019-06-11 |
| 1730644410 | Margaret Elizabeth Beallis | Counselor | 120 Gale St., Aurora, IL 60506 | 2019-02-06 |
| 1639634322 | Jordan Devera | Student in an Organized Health Care Education/Training Program | Aurora University 347 S Gladstone Ave, Pmb 729, Aurora, IL 60506 | 2019-02-06 |
| 1770077737 | Harriet L Miller | Registered Nurse | 1081 Emerald Dr, Aurora, IL 60506 | 2018-06-21 |
| 1275033516 | Lillian Antonia Villamil | Registered Nurse | 400 Mercy Lane, Aurora, IL 60506 | 2018-02-13 |
| 1689173676 | Ideal Medical Equipment and Supplies | Durable Medical Equipment & Medical Supplies | 1177 N Highland Ave Ste#204, Aurora, IL 60506 | 2018-02-06 |
| 1417465535 | Aaron Downing | Counselor | 525 N. Edgelawn Ave, Aurora, IL 60506 | 2018-01-11 |
| 1942739222 | Jessica Toma | Pharmacist | 1952 W Galena Blvd, Aurora, IL 60506 | 2017-06-08 |
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| 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 |
|---|---|---|---|---|
| 1316426026 | University Physicians Incorporated | Pediatrics | 13123 E 16th Ave Fl 1, Aurora, CO 80045-7106 | 2018-08-13 |
| 1811492978 | Rocky Mountain Youth Medical and Nursing Consultants, Inc | Pediatrics | 1420 Laredo St, Aurora, CO 80011-5808 | 2018-03-29 |
| 1407387418 | Laura Ann Wang | Pediatrics | 13123 E 16th Ave # B518, Aurora, CO 80045-7106 | 2017-03-22 |
| 1467815696 | Annemarie Wolfe | Pediatrics | 13123 E 16th Ave # B-395, Aurora, CO 80045-7106 | 2016-04-04 |
| 1336536416 | Nicolle Fernandez Dyess | Pediatrics | 13121 E. 17th Ave, Neonatology Ms 8402, Aurora, CO 80045 | 2015-04-16 |
| 1952714354 | Sarah Rachel Green | Pediatrics | 13123 E 16th Ave # 25, Aurora, CO 80045-7106 | 2014-06-04 |
| 1063772929 | Eliza Davis Blanchette | Pediatrics | 13123 E 16th Ave # 328, Aurora, CO 80045-7106 | 2012-05-24 |
| 1205192903 | Olivia Lund Hoffman | Pediatrics | 13123 East 16th Avenue, Box 158, Aurora, CO 80045 | 2012-04-06 |
| 1134414964 | Abigail Suzanne Angulo | Pediatrics | 13123 E 16th Ave # 140, Aurora, CO 80045-7106 | 2011-06-09 |
| 1922397629 | Kathryn M Ginder | Pediatrics | 15101 E Iliff Ave Ste 140, Aurora, CO 80014-4548 | 2011-04-04 |
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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.