Organization Active NPI

Rockford Pediatrics

  • Pediatrics Physician
  • Rockford, MI
National Provider Identifier
1508306093
Registry record updated Dec 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
5101015010 Issued in MI
Legal business name
ROCKFORD PEDIATRICS
Practice address
6116 Northland Dr NE
Rockford, MI 49341
Phone
(616) 259-6100
Fax
(616) 259-5730
NPI assigned
Mar 2, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2024

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

Authorized official

Name
Trew J Stransky, DONPI 1699785584
Title
Owner
Phone
(616) 259-6100

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 5101015010 MI Primary

Addresses

Primary practice location

6116 Northland Dr NE
Rockford, MI 49341

Mailing address

6116 Northland Dr NE
Rockford, MI 49341
Phone (616) 259-6100

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D2130839Rockford Pediatrics, PC6116 Northland Drive NE, Rockford, MI 49341Certificate of waiverMay 17, 2027

National Provider Directory

National Provider Directory

Locations

6116 Northland Dr NE
Rockford, MI 49341
Phone (616) 259-6100

120 Marcell Dr NE
Ste C
Rockford, MI 49341
Phone (616) 866-4200

717 S Houston Ave
Ste 400
Tulsa, OK 74127
Phone (918) 382-4600

Practitioners & affiliated clinicians

Practitioners 3

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": "1488412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735257600000",
    "number": "1508306093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6116 NORTHLAND DR NE",
            "city": "ROCKFORD",
            "state": "MI",
            "postal_code": "49341",
            "telephone_number": "616-259-6100",
            "fax_number": "616-259-5730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6116 NORTHLAND DR NE",
            "city": "ROCKFORD",
            "state": "MI",
            "postal_code": "49341",
            "telephone_number": "616-259-6100",
            "fax_number": "616-259-5730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKFORD PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-02",
        "last_updated": "2024-12-27",
        "status": "A",
        "authorized_official_last_name": "STRANSKY",
        "authorized_official_first_name": "TREW",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-259-6100",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "5101015010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2024; 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.