KID STATION PEDIATRICS P.C (NPI# 1720213952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720213952 |
| Entity Type | Organization |
| Organization Name | KID STATION PEDIATRICS P.C |
| Practice Address |
301 Medical Dr Suite 504 Lagrange GA 30240-4144 |
| Practice Telephone | 7068825437 |
| Mailing Telephone | 7068825437 |
| Enumeration Date | 2009-05-18 |
| Last Update Date | 2012-02-02 |
| Authorized Official Name | KALYANI ANGAMPALLY RAJEEV (OWNER) |
| Authorized Official Telephone | 6784817879 |
| Authorized Official Credential | M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 058657 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 416240451H | 05 |
| Street Address |
301 MEDICAL DR SUITE 504 |
| City | LAGRANGE |
| State | GA |
| Zip Code | 30240-4144 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083613525 | Kalyani Rajeev | Pediatrics | 301 Medical Dr, Suite 504, Lagrange, GA 30240-4144 | 2005-07-18 |
| 1275827396 | Torey Scott Harden | Pediatrics | 301 Medical Dr, Ste 504, Lagrange, GA 30240-4144 | 2011-06-06 |
| 1669607891 | West Georgia Family Practice P.c | Family Medicine | 301 Medical Dr, Suite 503, Lagrange, GA 30240-4144 | 2009-05-18 |
| 1407091887 | Lagrange Cardiovascular Center LLC | Internal Medicine | 301 Medical Dr, Suite 506, Lagrange, GA 30240-4144 | 2008-12-12 |
| 1740467398 | Vincent C Scoglietti IIi | Surgery | 301 Medical Dr, Ste 503, Lagrange, GA 30240-4144 | 2008-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598223844 | Urgencare, LLC | Clinic/Center | 2169 West Point Road, Suite 105, Lagrange, GA 30240 | 2019-03-06 |
| 1679075527 | Georgia Pain and Spine Care, Inc | Pain Medicine | 303 Smith St Fl 2, Lagrange, GA 30240 | 2018-03-07 |
| 1629463500 | Quoc Vinh Ngo | Emergency Medicine | Wellstar West Georgia Medical Center, 1504 Vernon Road, Lagrange, GA 30240 | 2015-03-30 |
| 1770913964 | Dell H Lawson | Counselor | 300 Medical Dr. Ste 705., Lagrange, GA 30240 | 2013-11-25 |
| 1629418793 | Mortar & Pestle, LLC | Pharmacy | 205 Vernon Street, Lagrange, GA 30240 | 2013-07-03 |
| 1336582329 | Weredeselam Menna Olango | Psychiatry & Neurology | 303 Medical Dr Ste 401, Lagrange, GA 30240 | 2013-04-10 |
| 1720333743 | Mortar and Pestle, LLC | Pharmacy | 300 Mooty Bridge Road, Lagrange, GA 30240 | 2012-07-16 |
| 1366768459 | Karin Taylor | Physical Medicine & Rehabilitation | 1600 Vernon Rd Ste A, Lagrange, GA 30240 | 2010-04-14 |
| 1871819458 | Kathryn J Hill | Counselor | 100 Smith St Ste 1, Lagrange, GA 30240 | 2010-04-08 |
| 1285802751 | Air Evac Ems, Inc. | Ambulance | 455 Aerotron Pkwy, Lagrange, GA 30240 | 2008-02-18 |
| Find all providers in zip 30240 | ||||
| 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 |
|---|---|---|---|---|
| 1427176536 | Pediatric Associates of Lagrange | Pediatrics | 1495 Lafayette Pkwy, Lagrange, GA 30241-2552 | 2007-03-27 |
| 1255443297 | George John Lechacz | Pediatrics | 1550 Doctors Dr, Suite 300, Lagrange, GA 30240-4140 | 2006-08-31 |
| 1336151489 | Julie Christine Tumma | Pediatrics | 4727 Willow Springs Road, Lagrange, IL 60525 | 2006-08-13 |
| 1225046287 | Mark C Matray | Pediatrics | 4727 Willow Springs Rd, Lagrange, IL 60525 | 2006-08-04 |
| 1609800705 | Lisa Pharis Allardice | Pediatrics | 205 Calumet Center Rd, Lagrange, GA 30241-6711 | 2006-07-11 |
| 1083613525 | Kalyani Rajeev | Pediatrics | 301 Medical Dr, Suite 504, Lagrange, GA 30240-4144 | 2005-07-18 |
| 1134416894 | Holly Mcmahon Dawson | Pediatrics | 1514 Vernon Rd, Lagrange, GA 30240-4131 | 2011-07-01 |
| 1275827396 | Torey Scott Harden | Pediatrics | 301 Medical Dr, Ste 504, Lagrange, GA 30240-4144 | 2011-06-06 |
| 1558590968 | Lacy R Tumambing | Pediatrics | 205 Calumet Center Rd, Lagrange, GA 30241-6711 | 2009-07-07 |
| 1659509685 | Cory C Butzon | Pediatrics | 1514 Vernon Rd, Lagrange, GA 30240-4131 | 2009-06-29 |
| Find all providers in LAGRANGE | ||||
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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.