NPIMap

Organization Active NPI

Country Creek Pediatrics, PLLC

  • Pediatrics Physician
  • Rochester, MI
National Provider Identifier
1194792168
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
COUNTRY CREEK PEDIATRICS, PLLC
Practice address
4986 N Adams Rd
Suite C
Rochester, MI 48306-1416
Phone
(248) 475-5601
Fax
(248) 475-5632
NPI assigned
Mar 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Elzbieta Anna Rozmiej, M.D.NPI 1871561944
Title
Manager
Phone
(248) 475-5601

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

4986 N Adams Rd
Suite C
Rochester, MI 48306-1416

Mailing address

4986 N Adams Rd
Suite C
Rochester, MI 48306-1416
Phone (248) 475-5601

National Provider Directory

National Provider Directory

Locations

2240 N Opdyke Rd
Auburn Hills, MI 48326
Phone (248) 289-7400

4986 N Adams Rd
Ste C
Rochester, MI 48306
Phone (248) 475-5601

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11246/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194792168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4986 N ADAMS RD",
            "address_2": "SUITE C",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483061416",
            "telephone_number": "248-475-5601",
            "fax_number": "248-475-5632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4986 N ADAMS RD",
            "address_2": "SUITE C",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483061416",
            "telephone_number": "248-475-5601",
            "fax_number": "248-475-5632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTRY CREEK PEDIATRICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROZMIEJ",
        "authorized_official_first_name": "ELZBIETA",
        "authorized_official_middle_name": "ANNA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "248-475-5601",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.