Trestlewood Pediatrics, P.C.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

RP050795 Issued in MI

Legal business name

TRESTLEWOOD PEDIATRICS, P.C.

Practice address

5082 Lovers Lane
Portage, MI 49002

Phone

(269) 381-0118

Fax

(269) 381-4610

NPI assigned

May 3, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Robert Page, M.D.NPI 1710966783

Title

President

Phone

(269) 381-0118

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.73173

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert Bruce Page, MD

  • Pediatrics Physician
  • Portage, MI
  • NPI 1710966783
  NPD (past) Authorized official
• Rebekah Lampart, D.O.

  • Pediatrics Physician
  • Lansing, MI
  • NPI 1881897213
  NPD (past)
• Stephanie Somers, M.D.

  • Pediatrics Physician
  • Portage, MI
  • NPI 1972582302
  NPD (past)
• Anthony J Van Es, MD

  • Pediatrics Physician
  • Portage, MI
  • NPI 1154300366
  NPD (past)
• Elizabeth Ann Rose, DO

  • Pediatrics Physician
  • Peoria, IL
  • NPI 1205123734
  NPD (past)

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407068695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5082 LOVERS LANE",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "49002",
            "telephone_number": "269-381-0118",
            "fax_number": "269-381-4610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5082 LOVERS LANE",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "49002",
            "telephone_number": "269-381-0118",
            "fax_number": "269-381-4610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRESTLEWOOD PEDIATRICS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PAGE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "269-381-0118",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "RP050795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madeline Townsend
• Steven Glen Townsend, EDD
• Melissa Ann Toyoshima, L.AC.
• Jessica My-Loan Tran
• Carrie J Tremble, LPC
• Mai'ER Trice
• Ashley McKenzie Trieu, M.A.
• Steven M Trillet, MD
• Trilogy Healthcare of Portage, LLC (The Lakes at Portage)
• Trinity Assisted Home Care

• Pediatrics Physician in Portage, MI
• Providers in Portage, MI by specialty
• Pediatrics Physician in Michigan

• 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.