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).
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 |
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 |
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 |
Street Address |
2940 INGERSOLL AVENUE |
City | DES MOINES |
State | IA |
Zip Code | 50312-4015 |
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 |
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 Code | 2080P0006X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Developmental – Behavioral Pediatrics |
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. |
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 |
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 |
City | DES MOINES |
Zip Code | 50312 |
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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.