PEDIATRICS AND ADOLESCENT MEDICINE, P.C.


Address: 2940 Ingersoll Avenue, Des Moines, IA 50312-4015
Phone: 5152441444

PEDIATRICS AND ADOLESCENT MEDICINE, P.C. (NPI# 1134259427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134259427
Entity Type Organization
Organization Name PEDIATRICS AND ADOLESCENT MEDICINE, P.C.
Practice Address 2940 Ingersoll Avenue
Des Moines
IA 50312-4015
Practice Telephone 5152441444
Enumeration Date 2007-03-06
Last Update Date 2020-08-22
Authorized Official Name DR. FREDERICK C. ALDRICH (PRESIDENT)
Authorized Official Telephone 5152441444
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
X 2080P0006X Pediatrics
Specialization: Developmental – Behavioral Pediatrics
20027 IA Allopathic & Osteopathic Physicians
X 1041C0700X Social Worker
Specialization: Clinical
00062 IA Behavioral Health & Social Service Providers
X 208000000X Pediatrics 20027 IA Allopathic & Osteopathic Physicians
X 2080A0000X Pediatrics
Specialization: Adolescent Medicine
20027 IA Allopathic & Osteopathic Physicians

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1033220108 Pediatrics and Adolescent Medicine, P.C. Pediatrics 240 Indian River Rd, Suite B-1, Orange, CT 06477-3649 2006-08-31

Office Location

Street Address 2940 INGERSOLL AVENUE
City DES MOINES
State IA
Zip Code 50312-4015

Providers in the same location

NPI Name Taxonomy Address Enumeration
1932373354 Charles Jay Brown Social Worker 2940 Ingersoll Avenue, Des Moines, IA 50312-4015 2008-04-16
1295909612 Kirk Bragg Social Worker 2940 Ingersoll Avenue, Des Moines, IA 50312-4015 2008-04-16
1225168511 Frederick C. Aldrich Pediatrics 2940 Ingersoll Avenue, Des Moines, Des Moines, IA 50312-4015 2007-03-06

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1942837976 Devon Anderson Student in an Organized Health Care Education/Training Program Des Moines University Pa Program, 3200 Grand, Des Moines, IA 50312 2020-03-27
1578190583 Christian Ostrander Student in an Organized Health Care Education/Training Program Des Moines University-pa Program 3200 Grand Avenue, Des Moines, IA 50312 2020-03-27
1194209312 Margaret Dedecker Speech-Language Pathologist 644 24th St., Des Moines, IA 50312 2018-09-24
1942702410 Nelson-kirby Therapy & Consulting Services, LLC Marriage & Family Therapist 3900 Ingersoll Avenue Suite 108, Des Moines, IA 50312 2018-03-01
1851839864 Lawrence Scanlon Counselor 412 42nd St, Des Moines, IA 50312 2017-02-09
1104275122 Melissa Joshel Social Worker 2116 Grand Ave Ste 2, Des Moines, IA 50312 2016-06-09
1629435813 Abby Michele Miller Acupuncturist 531 40th Street, Des Moines, IA 50312 2016-01-20
1326410689 Dawn Theresa Corriere Advanced Practice Midwife 3714 Ingersoll Ave, Des Moines, IA 50312 2015-10-27
1336558154 Paul Johnston Counselor 600 42nd Street, Des Moines, IA 50312 2014-08-06
1083847214 Mark David Ravreby Internal Medicine 3663 Grand Ave, #204, Des Moines, IA 50312 2009-09-04
Find all providers in zip 50312

Taxonomy Information

Taxonomy Code 2080P0006X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Developmental – Behavioral Pediatrics

Taxonomy Definition

A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed, 3/26/2008: definition corrected] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1073853982 Mercy Clinics, Inc Pediatrics 411 Laurel St, Suite 3310, Des Moines, IA 50314-3017 2013-03-01
1235499765 Mercy Professional Practice Associates, Inc. Pediatrics 411 Laurel St, Suite: 3310, Des Moines, IA 50314-3017 2012-05-17

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1871561217 Patricia M Mcguire Pediatrics 2215 Westdale Dr Sw, Cedar Rapids, IA 52404-6326 2006-03-10
1477787638 Shruti Niketan Tewar Pediatrics 200 Hawkins Dr, Department of Pediatrics, Iowa City, IA 52242-1009 2009-05-03
1841355104 Kathleen Opdebeeck Macmenamin Pediatrics 1026 A Ave Ne, Cedar Rapids, IA 52402-5036 2006-12-27
1487734828 Lane Strathearn Pediatrics 200 Hawkins Dr, Department of Pediatrics, Iowa City, IA 52242-1009 2006-10-17
1932196698 Deborah C Lin-dyken Pediatrics 200 Hawkins Dr, Iowa City, IA 52242-1009 2005-09-28
1063407757 Dianne Mcbrien Pediatrics 200 Hawkins Dr, Iowa City, IA 52242-1009 2005-09-19

Competitor

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City DES MOINES
Zip Code 50312

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Dataset Information

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.

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