PEDIATRIC HEALTHCARE (NPI# 1679795025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679795025 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC HEALTHCARE |
| Practice Address |
4039 Rte 219 Suite 103 Salamanca NY 14779-9625 |
| Practice Telephone | 7169450368 |
| Practice Fax Number | 7169450757 |
| Mailing Telephone | 7169450368 |
| Mailing Fax Number | 7169450757 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2008-07-24 |
| Authorized Official Name | SRINIVAS P THANDLA (SOLE PROPRIETOR) |
| Authorized Official Telephone | 7169450368 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 237701 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02056637 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962446567 | Pediatric Healthcare | Pediatrics | 42141 Mound Rd, Sterling Heights, MI 48314-3144 | 2006-06-15 |
| Street Address |
4039 RTE 219 SUITE 103 |
| City | SALAMANCA |
| State | NY |
| Zip Code | 14779-9625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427681493 | Denise Ann O'neil | Nurse Practitioner | 4039 Us 219, Salamanca, NY 14779 | 2020-02-19 |
| 1568908135 | Scott Connor | Counselor | 987 Rc Hoag Dr., Salamanca, NY 14779 | 2017-01-06 |
| 1730553900 | Lorraine Miller | Registered Nurse | 300 Prospect Avenue, Salamanca, NY 14779 | 2015-11-25 |
| 1194974568 | Lori Ann Quigley | Licensed Practical Nurse | 184 Prospect Ave., Salamanca, NY 14779 | 2008-09-10 |
| 1679722144 | Neandra Jean Haynoski | Licensed Practical Nurse | 78 State Park Ave, Salamanca, NY 14779 | 2008-09-09 |
| 1184713091 | John, Ross L., Sr. Native Pharmaceutical Direct | Pharmacy | 77 Main Street, The Sovereign Seneca Nation, Salamanca, NY 14779 | 2006-10-11 |
| 1114967346 | Lori M Crassi | Nutritionist | Lionel R John Health Center, 987 Rc Hoag Drive, Salamanca, NY 14779 | 2006-06-07 |
| 1053369983 | J Nicholas Porcello | Dentist | Lionel R. John Health Center, 987 Rc Hoag Dr, Salamanca, NY 14779 | 2006-05-04 |
| 1881659878 | Kathleen Rose Lavelle | Occupational Therapist | 4039 Route 219, Suite 104, Salamanca, NY 14779 | 2006-04-20 |
| 1295206977 | Lauren Kathlene Hunt | Physical Therapist | 4039 Route 219, Salamanca, NY 14779 | 2018-12-06 |
| Find all providers in zip 14779 | ||||
| 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 |
|---|---|---|---|---|
| 1043351091 | Srinivas Perumal Thandla | Pediatrics | 4039 Route 219, Suite 103, Salamanca, NY 14779-9625 | 2007-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518577550 | Danielle Vann | Pediatrics | 151 N Washington St # 2s, Sleepy Hollow, NY 10591-3117 | 2020-08-04 |
| 1699392357 | Long Island Pediatrics of Patchogue PC | Pediatrics | 475 E Main St Ste 109, Patchogue, NY 11772-3121 | 2020-06-29 |
| 1811510811 | Dr Pediatric PC | Pediatrics | 38 Hopewell Dr, Stony Brook, NY 11790-2339 | 2020-05-26 |
| 1598386864 | Sandra Howard Bonat | Pediatrics | 4 Filomena Ct, Dix Hills, NY 11746-4750 | 2020-04-28 |
| 1497374359 | Medical Health 360 Pllc | Pediatrics | 16955 County Route 59, Dexter, NY 13634-2027 | 2020-04-10 |
| 1922633007 | Danzi & Hajduk-bennett Pediatrics Pllc | Pediatrics | 994 W Jericho Tpke Ste 202, Smithtown, NY 11787-3234 | 2020-03-09 |
| 1396377180 | Chelsea Oberkrieser | Pediatrics | 17 Long Ave Ste 110, Hamburg, NY 14075-6200 | 2020-02-10 |
| 1619508900 | Total Care Pediatrics Pllc | Pediatrics | 4265 Kissena Blvd # L4, Flushing, NY 11355-3273 | 2020-01-27 |
| 1639709157 | Decerina Uy Md PC | Pediatrics | 649 Route 25a Ste 3, Rocky Point, NY 11778-8983 | 2020-01-23 |
| 1447890603 | Opear Holdings, Inc | Pediatrics | 2635 Frances St, Bellmore, NY 11710-5401 | 2020-01-15 |
| Find all providers with the same taxonomy | ||||
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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.