DR. CHRISTINE MARY KAZLAUSKAS (NPI# 1134650013) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134650013 |
| Entity Type | Individual |
| Full Name | DR. CHRISTINE MARY KAZLAUSKAS |
| Credential | M.D. |
| Practice Address |
6050 Sterling Creek Rd Portage IN 46368-7752 |
| Mailing Address |
Po Box 1430 Portage IN 46368-9230 |
| Practice Telephone | 2197638112 |
| Practice Fax Number | 2197645380 |
| Mailing Telephone | 2197638112 |
| Mailing Fax Number | 2197645380 |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2020-07-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 01083886A | IN | Allopathic & Osteopathic Physicians |
| Street Address |
6050 STERLING CREEK RD |
| City | PORTAGE |
| State | IN |
| Zip Code | 46368-7752 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972596401 | Leslie Diane Armiger | Social Worker | 6050 Sterling Creek Rd, Portage, IN 46368-7752 | 2005-08-30 |
| 1306452248 | Misty Hatch | Counselor | 6050 Sterling Creek Rd, Portage, IN 46368-7752 | 2020-09-16 |
| 1780215574 | Michael Barrera | Counselor | 6050 Sterling Creek Rd, Portage, IN 46368-7752 | 2020-01-30 |
| 1053889915 | Audrey Simone Dawson | Optometrist | 6050 Sterling Creek Rd, Portage, IN 46368-7752 | 2018-11-08 |
| 1073012498 | Michael Paul Plebanski | Counselor | 6050 Sterling Creek Rd, Portage, IN 46368-7752 | 2018-02-12 |
| 1457865651 | Megan K Walker | Nurse Practitioner | 6050 Sterling Creek Rd, Portage, IN 46368-7752 | 2017-11-27 |
| 1619415874 | Roshanda Grayson-thomas | Registered Nurse | 6050 Sterling Creek Rd, Portage, IN 46368-7752 | 2017-02-08 |
| 1285085241 | L. Allen Grecula | Counselor | 6050 Sterling Creek Rd, Portage, IN 46368-7752 | 2016-06-30 |
| 1376942383 | Raheel Khatri | Dentist | 6050 Sterling Creek Rd, Portage, IN 46368-7752 | 2014-08-14 |
| 1124434584 | Sarah L Brentlinger | Nurse Practitioner | 6050 Sterling Creek Rd, Portage, IN 46368-7752 | 2014-07-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366041121 | Latresa Renee Sims | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1777 Armstrong St. Suite C., Portage, IN 46368 | 2020-10-22 |
| 1831576693 | Bishara Robert Khoury | Family Medicine | 3545 Arbor Blvd Ste E, Portage, IN 46368 | 2015-04-30 |
| 1962813535 | Diane Farrington | Pharmacist | 6050 Us Hwy 6, Portage, IN 46368 | 2014-05-16 |
| 1588827562 | Jennifer Ann Rumpel | Allergy & Immunology | 6375 Us Highway 6 Ste C, Portage, IN 46368 | 2008-07-09 |
| 1588822688 | Total Renal Care Inc | Clinic/Center | 5823 Us Highway 6, Portage, IN 46368 | 2008-05-27 |
| 1235321480 | Michael Wendahl | Physical Therapist | 3691 Willowcreek Road, Suite 100, Portage, IN 46368 | 2007-08-13 |
| 1679663603 | Stephen V Headley | Family Medicine | 3283 Willowcreek Rd, Portage, IN 46368 | 2006-10-13 |
| 1730276486 | Robert Tan Ang | Psychiatry & Neurology | 3156 Willowcreek Road, Portage, IN 46368 | 2006-10-06 |
| 1013029883 | Primary Care PC | Family Medicine | 3125 Willowcreek Road, Portage, IN 46368 | 2006-08-31 |
| 1104936962 | Margaret Eileen Griffith | Dentist | 2646 Lois Street, Portage, IN 46368 | 2006-08-30 |
| Find all providers in zip 46368 | ||||
| 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 |
|---|---|---|---|---|
| 1407068695 | Trestlewood Pediatrics, P.C. | Pediatrics | 5082 Lovers Lane, Portage, MI 49002 | 2007-05-03 |
| 1396837233 | Children's Medicine P.C. | Pediatrics | 1428 W Milham Ave, Portage, MI 49024-1209 | 2006-09-29 |
| 1619903317 | Renee C Lassila | Pediatrics | 2700 East Centre Ave, Portage, MI 49002 | 2006-06-24 |
| 1710966783 | Robert Bruce Page | Pediatrics | 5082 Lovers Ln, Portage, MI 49002-1557 | 2006-01-10 |
| 1477548949 | Paul B Young | Pediatrics | 2825 Hunters Trl, Portage, WI 53901-3429 | 2005-09-12 |
| 1487123972 | Emily Putnam | Pediatrics | 1428 W Milham Ave, Portage, MI 49024-1209 | 2018-11-14 |
| 1770939233 | Lorenzo Perez Romano | Pediatrics | 2817 New Pinery Rd, Portage, WI 53901-9240 | 2016-05-13 |
| 1417334541 | Mahesh Shrestha | Pediatrics | 670 Mall Dr, Portage, MI 49024 | 2015-04-27 |
| 1619317955 | Natalie M Behrle | Pediatrics | 670 Mall Dr, Portage, MI 49024 | 2013-07-01 |
| 1831458272 | Jamie Lyn Harden | Pediatrics | 2680 W Centre Ave, Portage, MI 49024-4828 | 2012-05-04 |
| Find all providers in PORTAGE | ||||
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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.