KENT PEDIATRICS, PC (NPI# 1871689638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871689638 |
| Entity Type | Organization |
| Organization Name | KENT PEDIATRICS, PC |
| Practice Address |
4735 West River Dr. Comstock Park MI 49321 |
| Practice Telephone | 6167849400 |
| Mailing Telephone | 6167849400 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2015-07-22 |
| Authorized Official Name | MRS. KATHY KUKAWSKI (OFFICE MANAGER) |
| Authorized Official Telephone | 6167849400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | MI | Allopathic & Osteopathic Physicians |
| Street Address |
4735 WEST RIVER DR. |
| City | COMSTOCK PARK |
| State | MI |
| Zip Code | 49321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174572671 | Nicholas P Kokx | Pediatrics | 4735 West River Dr., Comstock Park, ID 49321-9607 | 2006-05-10 |
| 1558311993 | Merry Kathleen Riley | Pediatrics | 4735 West River Dr., Comstock Park, MI 49321-9607 | 2006-05-10 |
| 1285683631 | Janette M Morin-sims | Pediatrics | 4735 West River Dr., Comstock Park, MI 49321-9607 | 2006-05-10 |
| 1396795738 | Gary L Vandyken | Pediatrics | 4735 West River Dr., Comstock Park, MI 49321-9607 | 2006-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386170546 | Carlie Little | Rehabilitation Practitioner | 3913 Leland Ave. Nw, Comstock Park, MI 49321 | 2017-05-10 |
| 1417497892 | Debra Andree | Custodial Care Facility | 609-7 Mile Rd Nw, Comstockpark, MI 49321 | 2017-03-03 |
| 1821484700 | Allan Smith | Registered Nurse | 441 Chasseral Dr Ne, Apt A1, Comstock Park, MI 49321 | 2015-04-08 |
| 1518083864 | Alpine Family Dentistry PC | Dentist | 4040 Alpine Ave Nw, Comstock Park, MI 49321 | 2007-03-21 |
| 1548345630 | James P Patyi | Optometrist | 3999 Alpine Ave, Comstock Park, MI 49321 | 2006-10-26 |
| 1053804534 | Zachary Eddy | Physical Therapist | 4615 W River Dr Ne, Comstock Park, MI 49321-7924 | 2018-06-11 |
| 1326052929 | Gregory P. Houghteling | Dentist | 6655 Alpine Ave Nw, Comstock Park, MI 49321-8000 | 2006-07-28 |
| 1194084780 | Detalmax PC | Dentist | 6655 Alpine Ave Nw, Suite 1, Comstock Park, MI 49321-8000 | 2012-05-16 |
| 1154361293 | Jeffrey John Vrielink | Psychiatry & Neurology | 6410 Alpine Ave Nw, Suite A, Comstock Park, MI 49321-8001 | 2006-06-07 |
| 1073812046 | Chiropractic Wellness Center PC | Chiropractor | 6410 Alpine Ave Nw, Suite C, Comstock Park, MI 49321-8001 | 2011-03-16 |
| Find all providers in zip 49321 | ||||
| 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 |
|---|---|---|---|---|
| 1427211309 | Carissa Elaine Chase | Pediatrics | 4735 West River Dr Ne, Comstock Park, MI 49321-9602 | 2008-07-09 |
| 1396853107 | Joanne Peterson | Pediatrics | 4735 W River Dr Ne, Comstock Park, MI 49321-9607 | 2006-08-29 |
| 1174572671 | Nicholas P Kokx | Pediatrics | 4735 West River Dr., Comstock Park, ID 49321-9607 | 2006-05-10 |
| 1558311993 | Merry Kathleen Riley | Pediatrics | 4735 West River Dr., Comstock Park, MI 49321-9607 | 2006-05-10 |
| 1285683631 | Janette M Morin-sims | Pediatrics | 4735 West River Dr., Comstock Park, MI 49321-9607 | 2006-05-10 |
| 1396795738 | Gary L Vandyken | Pediatrics | 4735 West River Dr., Comstock Park, MI 49321-9607 | 2006-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700498946 | Positively Pediatrics Pllc | Pediatrics | 120 N Bridge St Ste D, Linden, MI 48451-8823 | 2020-08-19 |
| 1730708058 | Xuexin Lu | Pediatrics | 22101 Moross Rd Ste 80, Detroit, MI 48236-2148 | 2020-04-16 |
| 1083252324 | Faith Cares Inc | Pediatrics | 9633 Sil St, Taylor, MI 48180-3028 | 2019-12-17 |
| 1013560473 | Muhammad Waqas | Pediatrics | Beaumont Hospital Royal Oak, 3601 W 13 Mile Rd, Royal Oak, MI 48073 | 2019-07-24 |
| 1528611175 | Emad Kassas | Pediatrics | 358 E Chicago St Ste C, Coldwater, MI 49036-2072 | 2019-07-23 |
| 1457911877 | Zachary Todd Goldstein | Pediatrics | Cedar Pediatrics 5303 S. Cedar St, Suite 205, Lansing, MI 48911 | 2019-06-18 |
| 1811553597 | Emile Muallem | Pediatrics | 1500 E. Med. Ctr Dr, Ann Arbor, MI 48109-5718 | 2019-05-17 |
| 1215403597 | Mfed Mosely | Pediatrics | 21840 23rd Mile Road, Macomb Twnp, MI 48040-2496 | 2018-10-15 |
| 1811473234 | Joyful Pediatrics, Pllc | Pediatrics | 820 Byron Rd Ste 600, Howell, MI 48843-1072 | 2018-07-18 |
| 1386139913 | Southfield Pediatrics Pllc | Pediatrics | 28500 Southfield Rd Ste 100, Lathrup Village, MI 48076-2722 | 2018-06-26 |
| Find all providers with the same taxonomy | ||||
| City | COMSTOCK PARK |
| Zip Code | 49321 |
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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.