AGGIE PEDIATRICS, LLC (NPI# 1710459045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710459045 |
| Entity Type | Organization |
| Organization Name | AGGIE PEDIATRICS, LLC |
| Practice Address |
1610 29th Avenue Pl Ste 101 Greeley CO 80634-6800 |
| Practice Telephone | 9703562600 |
| Practice Fax Number | 9703562633 |
| Mailing Telephone | 9703562600 |
| Mailing Fax Number | 9703562633 |
| Enumeration Date | 2018-12-27 |
| Last Update Date | 2018-12-27 |
| Authorized Official Name | MR. ABE HERRERA JR. (PRESIDENT) |
| Authorized Official Telephone | 9703562600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 01324128 | 05 |
| Other Name | Type Code |
|---|---|
| The Children's Health Place | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Aggie Pediatrics, LLC | 1610 29th Avenue Place, Suite 101, Greeley, CO 80634 |
| Street Address |
1610 29TH AVENUE PL STE 101 |
| City | GREELEY |
| State | CO |
| Zip Code | 80634-6800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548537400 | Kyle Brown | Registered Nurse | 1610 29th Avenue Pl Ste 101, Greeley, CO 80634-6800 | 2011-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831707843 | Witting Medical, LLC | Pathology | 17 Dos Rios, Greeley, CO 80634 | 2020-07-15 |
| 1730706102 | Heart Centered Counseling | Counselor | 1770 W 25th Street #206, Greeley, CO 80634 | 2020-07-01 |
| 1396374237 | Kidstuff Child and Family Counseling, P.C. | Counselor | 1770 25th Ave., Ste. 102, Greeley, CO 80634 | 2020-04-03 |
| 1164055745 | Stephanie Alexis Balunda | Speech-Language Pathologist | Uchealth Physical Therapy and Rehabilitation Clinic, 6767 West 29th St., Greeley, CO 80634 | 2020-02-21 |
| 1407413727 | Stephen P Street Pllc | Counselor | 4657 W. 20th Street, Unit B, Greeley, CO 80634 | 2019-05-22 |
| 1043797749 | Burt Stewart Dmd Pllc | Clinic/Center | 6937 West 10th Street, Greeley, CO 80634 | 2018-07-25 |
| 1164913885 | Innovations Pediatric Therapy, LLC | Occupational Therapist | 3403 W 7th St Apt A, Greeley, CO 80634 | 2018-05-29 |
| 1003305319 | Austin Michael Lake | Physical Therapist | 4681 W 20th St Unit 202b, Greeley, CO 80634 | 2018-05-02 |
| 1225542004 | Kevin Lichner | Specialist/Technologist | 522 28th Ave, Greeley, CO 80634 | 2017-11-30 |
| 1538683909 | Stacie Jackson | Physician Assistant | 6500 West 29th St Ste 106, Greeley, CO 80634 | 2017-07-27 |
| Find all providers in zip 80634 | ||||
| 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 |
|---|---|---|---|---|
| 1952619348 | Sunitha Valambige Mudalagiri Gowda | Pediatrics | 2001 70th Ave Fl 3, Greeley, CO 80624-4621 | 2010-09-20 |
| 1437135613 | Deborah Archer | Pediatrics | 1010 A St, Greeley, CO 80631-2021 | 2005-12-19 |
| 1760480453 | Masroor U Kakakhel | Pediatrics | 100 N 11th Ave, Greeley, CO 80631-2011 | 2005-07-07 |
| 1780290452 | Healthone Clinic Services - Pediatric Specialties LLC | Pediatrics | 1801 16th St, Greeley, CO 80631-5154 | 2020-09-18 |
| 1255944419 | Poudre Valley Medical Group, LLC | Pediatrics | 5881 W 16th St, Greeley, CO 80634-2910 | 2020-08-27 |
| 1255944831 | Poudre Valley Medical Group, LLC | Pediatrics | 6767 29th St Fl 3, Greeley, CO 80634-5474 | 2020-08-25 |
| 1659783199 | Brittany Weber | Pediatrics | 5881 W 16th St, Greeley, CO 80634-2910 | 2014-06-02 |
| 1558789263 | Emily Grace Allwein | Pediatrics | 2429 35th Ave, Greeley, CO 80634-4171 | 2014-03-31 |
| 1821344664 | Kathryn Chmura | Pediatrics | 6801 W 20th St, Suite #201, Greeley, CO 80634-9637 | 2012-07-31 |
| 1275808586 | Meghan Ann Croteau Fels | Pediatrics | 6801 W 20th St, Suite 201, Greeley, CO 80634-9637 | 2012-03-20 |
| Find all providers in GREELEY | ||||
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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.