KINDER MENDER, LLC (NPI# 1417364753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417364753 |
| Entity Type | Organization |
| Organization Name | KINDER MENDER, LLC |
| Other Organization Name | KINDER MENDER PRIMARY CARE |
| Practice Address |
6100 Dobbin Rd Columbia MD 21045-5804 |
| Practice Telephone | 4434924000 |
| Mailing Telephone | 4434924000 |
| Enumeration Date | 2014-07-18 |
| Last Update Date | 2014-07-18 |
| Authorized Official Name | KEYVAN RAFEI (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 4434924000 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Kinder Mender Primary Care | Doing Business As Name - Organization |
| Street Address |
6100 DOBBIN RD |
| City | COLUMBIA |
| State | MD |
| Zip Code | 21045-5804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669417267 | Keyvan Rafei | Pediatrics | 6100 Dobbin Rd, Columbia, MD 21045-5804 | 2006-06-18 |
| 1487156329 | Caitlin Kelly | Nurse Practitioner | 6100 Dobbin Rd, Columbia, MD 21045-5804 | 2018-03-07 |
| 1629570049 | Jennifer Ryu | Nurse Practitioner | 6100 Dobbin Rd, Columbia, MD 21045-5804 | 2018-03-01 |
| 1982143798 | Kinder Mender | Clinic/Center | 6100 Dobbin Rd, Columbia, MD 21045-5804 | 2017-02-14 |
| 1154869162 | Catherine Aldinger | Nurse Practitioner | 6100 Dobbin Rd, Columbia, MD 21045-5804 | 2017-02-09 |
| 1841741352 | Megan Calvert | Nurse Practitioner | 6100 Dobbin Rd, Columbia, MD 21045-5804 | 2016-10-19 |
| 1265885206 | Lauren Restaino | Nurse Practitioner | 6100 Dobbin Rd, Columbia, MD 21045-5804 | 2016-07-14 |
| 1194199190 | Joanna Manzo Delfin | Nurse Practitioner | 6100 Dobbin Rd, Columbia, MD 21045-5804 | 2015-11-15 |
| 1548642028 | Elizabeth Hall | Nurse Practitioner | 6100 Dobbin Rd, Columbia, MD 21045-5804 | 2015-06-22 |
| 1669864591 | Sarah Calvert Lartey | Nurse Practitioner | 6100 Dobbin Rd, Columbia, MD 21045-5804 | 2015-03-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497374136 | Keenan Eldridge | Behavior Technician | 8950 Md-108, Suite 100, Columbia, MD 21045 | 2020-04-13 |
| 1730724220 | Luci Lee Redman Cassella | Family Medicine | 8900 Columbia 100 Parway Suite G, Columbia, MD 21045 | 2019-11-08 |
| 1417519414 | Howard County Health Department | Clinic/Center | Cradlerock Elementary School-based Wellness Center, 6700 Cradlerock Way, Columbia, MD 21045 | 2019-07-01 |
| 1649754490 | Dana Pirzchalski | Behavioral Analyst | 8815 Columbia Parkwary, 4, Columbia, MD 21045 | 2018-09-18 |
| 1871089177 | Melissa Jo Kennedy | Behavior Technician | 8815 Columbia Parkway, 4, Columbia, MD 21045 | 2018-07-10 |
| 1497246193 | Kjd | Physical Therapist | 8900 Columbia 100 Pkwy Ste C, Columbia, MD 21045 | 2018-05-29 |
| 1174010276 | Roger Lee | Audiologist | 8600 Snowden River Pkwy #309, Columbia, MD 21045 | 2018-04-16 |
| 1811497910 | Dominique Nichole Hale | Behavior Technician | 8115 Columbia 100 Parkway, Suite 4, Columbia, MD 21045 | 2018-02-15 |
| 1982116802 | Bradley D. Stiles | Acupuncturist | 6257 Deep River Cyn, Columbia, MD 21045 | 2017-11-01 |
| 1194234849 | University of Maryland Eye Associates, P.a. | Eyewear Supplier (Equipment, not the service) | 5900 Waterloo Road, Suite 230, Columbia, MD 21045 | 2017-09-26 |
| Find all providers in zip 21045 | ||||
| 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 |
|---|---|---|---|---|
| 1972128742 | Emily Anne Cloessner | Pediatrics | Prisma Health Childrens Hospital Outpatient Center, 14 Medical Park, Ste 400, Columbia, SC 29203 | 2020-06-08 |
| 1043833890 | Lauren F. Cook | Pediatrics | Prisma Health Children's Hospital Outpatient Center, 14 Medical Park, Ste 400, Columbia, SC 29203 | 2020-05-27 |
| 1619598158 | Zeel Hiren Patel | Pediatrics | Childrens Hospital Outpatient Center, 14 Medical Park, Ste 400, Columbia, SC 29203 | 2020-05-06 |
| 1427695824 | Naseem Khan | Pediatrics | 10851 Clarksville Pike, Columbia, MD 21044-1338 | 2019-12-04 |
| 1164089124 | Mercy Clinic Illinois, LLC | Pediatrics | 1019 Valmeyer Rd, Columbia, IL 62236-4123 | 2019-05-24 |
| 1629568480 | Heather Kay Lynn | Pediatrics | Pediatric Outpatient Clinic, 1801 Sunset Drive, Columbia, SC 29203 | 2018-05-16 |
| 1174013932 | Dalton Mark Renick | Pediatrics | Pediattric Outpatient Center, 14 Medical Park, Ste 400, Columbia, SC 29203 | 2018-05-16 |
| 1033630330 | Brian Bradley Johnson | Pediatrics | Children's Hospital Outpatient Center, 14 Medical Park, Ste 400, Columbia, SC 29203 | 2017-06-28 |
| 1316350226 | Duncan Lee Norton | Pediatrics | 14 Medical Park, Ste 400, Children's Hospital Outpatient Center, Columbia, SC 29203 | 2014-06-09 |
| 1225440910 | Michael Mitchell | Pediatrics | 14 Medical Park Ste 400, Pediatric Clinic, Columbia, SC 29203 | 2014-05-29 |
| Find all providers in COLUMBIA | ||||
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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.