PEDS CARE P.C. (NPI# 1679730717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679730717 |
| Entity Type | Organization |
| Organization Name | PEDS CARE P.C. |
| Practice Address |
1933 Shields Road Dalton GA 30720 |
| Practice Telephone | 7062786628 |
| Practice Fax Number | 7062786650 |
| Mailing Telephone | 7062786628 |
| Mailing Fax Number | 7062786650 |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2010-11-29 |
| Authorized Official Name | DR. RICARDO R RIESCO (OWNER) |
| Authorized Official Telephone | 7062786628 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Street Address |
1933 SHIELDS ROAD |
| City | DALTON |
| State | GA |
| Zip Code | 30720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225005812 | Milca Lymarie Hernandez-aviles | Pediatrics | 1933 Shields Road, Dalton, GA 30720 | 2006-03-02 |
| 1033258355 | Kelli Michelle Paniagua | Nurse Practitioner | 1933 Shields Road, Dalton, GA 30720 | 2007-02-05 |
| 1154437887 | Helen Celeste Morris | Nurse Practitioner | 1933 Shields Road, Dalton, GA 30720 | 2006-08-23 |
| 1063435550 | Ricardo Raul Riesco | Pediatrics | 1933 Shields Road, Dalton, GA 30720 | 2006-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528688421 | Nighat Purnima Kabir | Student in an Organized Health Care Education/Training Program | Hamilton Medical Center, Attn: Residency Program, 1200 Memorial Drive, Dalton, GA 30720 | 2020-04-21 |
| 1720620727 | Elizabeth Nicole Gregory | Behavioral Analyst | 1201 Burleyson Rd., Dalton, GA 30720 | 2019-10-10 |
| 1972161768 | Andrea Nicole Henry | Speech-Language Pathologist | 1201 Burleyson Road, Dalton, Ga. 30720, Dalton, GA 30720 | 2019-06-05 |
| 1275056905 | Cynthia L Wood | Speech-Language Pathologist | 1011 Professional Blvd., Dalton, GA 30720 | 2017-07-25 |
| 1073069225 | Alyssa Sellers Garner | Nurse Practitioner | 1436 Chattanooga Avenue, Dalton, GA 30720 | 2016-08-28 |
| 1588039077 | Katie Walker | Social Worker | 900 Shugart Road, Dalton, GA 30720 | 2015-12-09 |
| 1215310800 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 98 West Walnut Ave, Dalton, GA 30720 | 2015-07-01 |
| 1275969081 | Stacy Kay Whitehead | Nurse Practitioner | 1411 Chattanooga Avenue, Suite 101, Dalton, GA 30720 | 2013-09-25 |
| 1821439985 | Chantal Aneka Raheeda Lewis | Internal Medicine | 1109 Burleyson Rd Ste 103, Dalton, GA 30720 | 2013-07-17 |
| 1174960678 | Homestead Hospice of Northwest Georgia, LLC | Hospice Care, Community Based | 1601 Hickory Street, Dalton, GA 30720 | 2013-05-24 |
| Find all providers in zip 30720 | ||||
| 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 |
|---|---|---|---|---|
| 1497046783 | Pooja M Soni | Pediatrics | 1933 Shields Rd., Dalton, GA 30720 | 2011-04-21 |
| 1851692016 | White's Pediatrics Urgent Care | Pediatrics | 1575 Chattanooga Avenue, Dalton, GA 30720-2672 | 2010-11-04 |
| 1912224577 | Bright Pediatrics, PC | Pediatrics | 1503 Professional Ct, Suite 102, Dalton, GA 30720-2566 | 2010-04-22 |
| 1508044611 | Emily Anne Brandt | Pediatrics | 1201 Burleyson Road, Dalton, GA 30720 | 2008-01-31 |
| 1194736173 | Michael Andrew Hale | Pediatrics | 2918 E Walnut Ave, Dalton, GA 30721-8738 | 2006-08-11 |
| 1659382943 | Luis Miguel Viamonte | Pediatrics | 1409 Chattanooga Ave, Dalton, GA 30720-2631 | 2006-08-11 |
| 1790706596 | Rajeshkumar Motilal Miniyar | Pediatrics | 711 Shields Rd, Dalton, GA 30720-5013 | 2006-07-21 |
| 1124073986 | Merle E Milburn Jr. | Pediatrics | 1575 Chattanooga Ave Ste 1, Dalton, GA 30720 | 2006-05-23 |
| 1225005812 | Milca Lymarie Hernandez-aviles | Pediatrics | 1933 Shields Road, Dalton, GA 30720 | 2006-03-02 |
| 1437144003 | Cole Ezeoke | Pediatrics | 1575 Chattanooga Ave, Suite 1, Dalton, GA 30720-2671 | 2005-09-20 |
| Find all providers in DALTON | ||||
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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.