ALEXIS ROBIN BALOMENOS (NPI# 1477569903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477569903 |
| Entity Type | Individual |
| Full Name | ALEXIS ROBIN BALOMENOS |
| Credential | M.D. |
| Practice Address |
58115 Main St New Haven MI 48048-2686 |
| Practice Telephone | 5867494444 |
| Practice Fax Number | 5867499114 |
| Mailing Telephone | 5867494444 |
| Mailing Fax Number | 5867499114 |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2011-08-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 4301066394 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4129423 | 05 |
| Street Address |
58115 MAIN ST |
| City | NEW HAVEN |
| State | MI |
| Zip Code | 48048-2686 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366990061 | Douglas Edward Elsey | Registered Nurse | 58115 Main St, New Haven, MI 48048-2686 | 2016-09-12 |
| 1992084693 | Tender Care Pediatrics, Pllc | Pediatrics | 58115 Main St, New Haven, MI 48048-2686 | 2011-08-11 |
| 1033225339 | Anne Miyoung Vondrachek | Pediatrics | 58115 Main St, New Haven, MI 48048-2686 | 2006-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255847893 | Heather Fonville | Licensed Practical Nurse | 3201 E. Cranston, New Haven, MI 48048 | 2017-12-19 |
| 1205251295 | Adrianne Jones Steiner | Counselor | 58144 Gratiot Ave., New Haven, MI 48048 | 2014-02-27 |
| 1679773659 | Meijer Inc | Durable Medical Equipment & Medical Supplies | 36865 26 Mile Rd, Lenox, MI 48048 | 2007-07-19 |
| 1588761506 | Charles Joseph Sobers | Dentist | 58144 Gratiot, Suite #316, New Haven, MI 48048 | 2006-09-20 |
| 1659352409 | Kimberly H Thompson | Family Medicine | 58144 Gratiot Ave, New Haven, MI 48048 | 2005-11-09 |
| 1679571392 | Downriver Community Services, Inc. | Clinic/Center | 58144 Gratiot Avenue, New Haven, MI 48048 | 2005-07-08 |
| 1770138398 | Corey Soper | Social Worker | 58144 Gratiot Ave, New Haven, MI 48048 | 2019-08-09 |
| 1285293837 | Rachael Vernon | Dentist | 58144 Gratiot Ave, New Haven, MI 48048 | 2019-06-07 |
| 1386135879 | Alisa Puvalowski | Dental Hygienist | 58144 Gratiot Ave, New Haven, MI 48048 | 2018-05-21 |
| 1013448067 | Aaron William Cloutier | Family Medicine | 58144 Gratiot Ave, New Haven, MI 48048 | 2017-03-22 |
| Find all providers in zip 48048 | ||||
| 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 |
|---|---|---|---|---|
| 1225322456 | Matthew Drago | Pediatrics | 1 Park St # Wp4, New Haven, CT 06504-8901 | 2011-06-06 |
| 1497082648 | Jason Henry Greenberg | Pediatrics | 15 W Rock Ave, New Haven, CT 06515-2218 | 2009-11-09 |
| 1841428406 | Angela M Montgomery | Pediatrics | 20 York St # Wp493, Yale-new Haven Hospital, New Haven, CT 06510-3220 | 2009-06-22 |
| 1538396353 | Erin A Nozetz | Pediatrics | 20 York St # T209, Yale New Haven Hospital, New Haven, CT 06510-3220 | 2009-06-18 |
| 1891933727 | Lawrence Tse Siew | Pediatrics | 100 York St Ste 1f, New Haven, CT 06511-5664 | 2009-01-30 |
| 1750548848 | Dean Yimlamai | Pediatrics | 333 Cedar St # 4093, New Haven, CT 06510-3206 | 2008-05-18 |
| 1134394323 | Nicole Marie Brown | Pediatrics | 333 Cedar Street Shm Ie-61, New Haven, CT 06520 | 2008-04-28 |
| 1376720961 | Adam Kenneth Berkwitt | Pediatrics | 20 York St, T209, Yale New Haven Hospital, New Haven, CT 06510 | 2008-01-25 |
| 1780885871 | Lindsay Callahan Johnston | Pediatrics | 333 Cedar St, Wp 493 Box 208064, Yale University, Dept. of Pediatrics, Neonatology, New Haven, CT 06520-8064 | 2007-05-29 |
| 1245328335 | Nancy Monestime-williams | Pediatrics | 646 Quinnipiac Ave, New Haven, CT 06513-4003 | 2006-10-11 |
| Find all providers in NEW HAVEN | ||||
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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.