PEDIATRIC PARTNERS, LLC (NPI# 1568805059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568805059 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC PARTNERS, LLC |
| Practice Address |
705 Bloomfield Ave Suite 101 Bloomfield CT 06002-2479 |
| Practice Telephone | 8602860444 |
| Practice Fax Number | 8602860464 |
| Mailing Telephone | 8602860444 |
| Mailing Fax Number | 8602860464 |
| Enumeration Date | 2013-04-15 |
| Last Update Date | 2013-05-06 |
| Authorized Official Name | SCOTT M KALLOR (DO / OWNER) |
| Authorized Official Telephone | 8602860444 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
042001 | CT | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942436100 | Pediatric Partners, LLC | Occupational Therapist | 12600 N 113th Ave, Building A, Youngtown, AZ 85363-1162 | 2009-06-02 |
| 1417183674 | Pediatric Partners, LLC | Physical Therapist | 17220 N Boswell Blvd, Suite L200, Sun City, AZ 85373-2000 | 2009-06-02 |
| Street Address |
705 BLOOMFIELD AVE SUITE 101 |
| City | BLOOMFIELD |
| State | CT |
| Zip Code | 06002-2479 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770634719 | Connecticut Renaissance, Inc | Counselor | 705 Bloomfield Ave, Suite 102, Bloomfield, CT 06002-2404 | 2007-01-16 |
| 1346207073 | Betty Joseph | Physical Therapist | 705 Bloomfield Ave, Ste 101, Bloomfield, CT 06002 | 2006-04-27 |
| 1336147917 | Scott Michael Kallor | Pediatrics | 705 Bloomfield Ave, Suite 101, Bloomfield, CT 06002-2479 | 2005-07-08 |
| 1154329738 | Carolyn Rand Ganeles | Pediatrics | 705 Bloomfield Ave, Suite 101, Bloomfield, CT 06002-2479 | 2005-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558908897 | Duncaster, Inc. | Clinic/Center | 30 Loeffler Rd., Bloomfield, CT 06002 | 2019-12-05 |
| 1104467919 | Caroline Suzanne Carey Oesch | Counselor | 71 West Dudley St, Bloomfield, CT 06002 | 2019-10-02 |
| 1679047534 | Inspire Me, LLC | Counselor | 1-2 Camelot Drive, Bloomfield, CT 06002 | 2019-01-14 |
| 1508348947 | Rebecca Perry | Student in an Organized Health Care Education/Training Program | 693 Bloomfield Avenue, Bloomfield, CT 06002 | 2018-09-01 |
| 1760996946 | Monique Edwards | Social Worker | 705 New Briatin Ave, Chd, Bloomfield, CT 06002 | 2017-11-27 |
| 1225564412 | Merva E Dixon | Nurse Practitioner | 38 Hill Farm Rd, Bloomfield, CT 06002 | 2017-05-07 |
| 1538602610 | Jaime Acevedo | Counselor | 571 Bloomfield Ave, Bloomfield, CT 06002 | 2016-11-22 |
| 1669835138 | Jacob Badura | Pharmacist | 799-824 Park Ave, Bloomfield, CT 06002 | 2016-04-01 |
| 1316283328 | Julie Jason Farrelly | Counselor | 45 Wintonbury Ave Ste 102, Bloomfield, CT 06002 | 2012-12-19 |
| 1184915860 | Rachel Benedetto Scott | Surgery | 6 Northwestern Drive, Suite 305, Bloomfield, CT 06002 | 2011-04-28 |
| Find all providers in zip 06002 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| 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/certification - 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 |
|---|---|---|---|---|
| 1831215896 | Bloomfield Pediatrics,p.a. | Pediatrics | 329 Belleville Avenue, 2nd Floor, Bloomfield, NJ 07003-5902 | 2007-03-22 |
| 1407800626 | Mario Szuchman, M.d. Pediatrics LLC | Pediatrics | 1177 Broad St, Bloomfield, NJ 07003-2951 | 2006-05-20 |
| 1144675463 | Kids Choice Pediatrics | Pediatrics | 1177 Broad St, Bloomfield, NJ 07003-2951 | 2016-04-25 |
| 1730262445 | Lester Robert Schwartz | Pediatrics | 800 Cottage Grove Rd, Ste 401, Bloomfield, CT 06002-3064 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780246306 | Pediatric Health Associates of Coneecticut, LLC | Pediatrics | 239 Silas Deane Hwy, Wethersfield, CT 06109-1730 | 2019-07-03 |
| 1073943668 | Pediatric Walk In Care LLC | Pediatrics | 141 B Hazard Avenue, Enfield, CT 06082-5412 | 2013-11-18 |
| 1225319445 | Enfield Pediatric Associates,p.c. | Pediatrics | 155 Hazard Ave Ste 14, Enfield, CT 06082-4586 | 2011-09-01 |
| 1962686824 | Kimberly Ju Kim | Pediatrics | 820 C Prospect Hill Road, Windsor, CT 06095 | 2007-12-27 |
| 1326166125 | Mary A. Simon | Pediatrics | 7 Melrose Dr, Farmington, CT 06032-0893 | 2007-03-27 |
| 1376678516 | Sydney Zane Spiesel | Pediatrics | 8 Lunar Dr, Woodbridge, CT 06525-2352 | 2007-02-21 |
| 1649314279 | Charles Ray Jones | Pediatrics | 111 Park St Ste F, New Haven, CT 06511-5412 | 2007-02-16 |
| 1427110469 | Radhika Malhotra | Pediatrics | 100 Bank St, Suite 307, Seymour, CT 06483-2806 | 2006-12-15 |
| 1386704682 | Andrews Adu Adade | Pediatrics | 18 Hillandale Ave, Stamford, CT 06902-2808 | 2006-12-11 |
| 1982706032 | John Gerald Pitegoff | Pediatrics | 1225 Silver St, Middletown, CT 06457-3920 | 2006-09-01 |
| Find all providers with the same taxonomy | ||||
| City | BLOOMFIELD |
| Zip Code | 06002 |
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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.