ABC PEDIATRIACS, PC (NPI# 1891011730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891011730 |
| Entity Type | Organization |
| Organization Name | ABC PEDIATRIACS, PC |
| Practice Address |
6750 Calumet Ave Hammond IN 46324-1646 |
| Mailing Address |
Po Box 1154 Crown Point IN 46308-1154 |
| Practice Telephone | 2198030311 |
| Practice Fax Number | 2198030217 |
| Mailing Telephone | 2196623931 |
| Mailing Fax Number | 2196636359 |
| Enumeration Date | 2010-04-16 |
| Last Update Date | 2011-02-15 |
| Authorized Official Name | TODD JOHNSON (AR MGR.) |
| Authorized Official Telephone | 2196623931 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 01053391A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200978100A | 05 | |
| IL | 305761883 | 05 |
| Street Address |
6750 CALUMET AVE |
| City | HAMMOND |
| State | IN |
| Zip Code | 46324-1646 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013981497 | Yolanda Rosales | Pediatrics | 6750 Calumet Ave, Hammond, IN 46324-1646 | 2006-02-14 |
| 1831628320 | Rebecca Braughton | Nurse Practitioner | 6750 Calumet Ave, Hammond, IN 46324-1646 | 2017-06-08 |
| 1770941049 | Jennifer Braggs | Nurse Practitioner | 6750 Calumet Ave, Hammond, IN 46324-1646 | 2016-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174183024 | Northwest Indiana Hospital, LLC | General Acute Care Hospital | 7904 Cabela Dr., Hammond, IN 46324 | 2019-06-13 |
| 1679049779 | Secure Dental Viii | Dentist | 7905 Indianapolis Blvd, Indianan, IN 46324 | 2018-10-17 |
| 1710317615 | Christopher Keown-belous | Marriage & Family Therapist | 7030 Indianapolis Blvd, Hammond, IN 46324 | 2013-11-14 |
| 1316296114 | Planned Parenthood of Indiana Hammond | Clinic/Center | 7131 Indianapolis Blvd., Hammond, IN 46324 | 2012-09-07 |
| 1427343862 | Amanda Rose Popovich | Behavioral Analyst | 7110 Magoun Avenue, Hammond, IN 46324 | 2011-06-14 |
| 1588804751 | Tanesha Marnise Williams | Technician | 5831 Erie St, Hammond, IN 46324 | 2009-03-02 |
| 1417039652 | Debra Antoinette Petersen | Nurse Practitioner | 7131 Indianapolis Blvd, Hammond, IN 46324 | 2006-10-19 |
| 1568455467 | Elisabeth Cleary Shearon | Pathology | Alvero Clinical Laboratories, 3434 Interstate Plaza Dr, Hammond, IN 46324 | 2005-08-25 |
| 1578958278 | Aditya Shah | Family Medicine | 6920 Indianapolis Blvd, Hammond, IN 46324 | 2015-03-31 |
| 1770928509 | Hammond Dental Group LLC | Dentist | 6414 Calumet Ave, Hammond, IN 46324 | 2013-05-07 |
| Find all providers in zip 46324 | ||||
| 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 |
|---|---|---|---|---|
| 1578872057 | Nasir A Shamsi, Md PC | Pediatrics | 6933 Kennedy Ave St C, Hammond, IN 46323-2210 | 2010-09-30 |
| 1548455843 | Luna Sharma | Pediatrics | 5612 Hohman Ave, Hammond, IN 46320-1953 | 2007-09-10 |
| 1053459784 | Gina Payton Lagarde | Pediatrics | 15481 W Club Deluxe Rd, Hammond, LA 70403-1466 | 2007-02-02 |
| 1033268461 | John Hubbard Overton | Pediatrics | 16031 Deblin Sq, Hwy 51 South, Hammond, LA 70403 | 2007-01-08 |
| 1548283906 | Angelo K. Lobue | Pediatrics | 15800 Professional Plz, Hammond, LA 70403-1453 | 2006-07-26 |
| 1265472856 | Abbey Lewis Gallien | Pediatrics | 42124 Veterans Ave, Suite A, Hammond, LA 70403-1427 | 2006-06-08 |
| 1013981497 | Yolanda Rosales | Pediatrics | 6750 Calumet Ave, Hammond, IN 46324-1646 | 2006-02-14 |
| 1598756827 | James L Goldyn | Pediatrics | 3432-169th Str, Hammond, IN 46323-2542 | 2005-11-04 |
| 1750373189 | Shagufta Khan | Pediatrics | 5530 S Hohman Ave, Hammond, IN 46320-1935 | 2005-08-22 |
| 1316946056 | Leo Westmoreland Jr. | Pediatrics | 42440 Pelican Professional Park, Hammond, LA 70403-2403 | 2005-07-15 |
| Find all providers in HAMMOND | ||||
Please comment or provide details below to improve the information on ABC PEDIATRIACS, PC.
| 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.