Quality Care Pediatrics

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

QUALITY CARE PEDIATRICS

Practice address

6910 N Main St
Unit 34
Granger, IN 46530-9680

Phone

(574) 277-7860

Fax

(574) 277-7861

NPI assigned

Aug 3, 2006

Organization subpart

No

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

Authorized official

Name

Rita Cortese, MD

Title

President

Phone

(574) 277-7860

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210636800000",
    "number": "1629086038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6910 N MAIN ST",
            "address_2": "UNIT 34",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465309680",
            "telephone_number": "574-277-7860",
            "fax_number": "574-277-7861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6910 N MAIN ST",
            "address_2": "UNIT 34",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465309680",
            "telephone_number": "574-277-7860",
            "fax_number": "574-277-7861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY CARE PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2008-05-13",
        "status": "A",
        "authorized_official_last_name": "CORTESE",
        "authorized_official_first_name": "RITA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "574-277-7860",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN HEALTH PLAN",
            "identifier": "21055",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200889900",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Premier Pediatrics of Indiana LLC
• Prudent Homecare LLC
• Nancy Anne Pudlo, MD
• Karen Ann Pugh, O.D.
• Sharon Lee Quaco, OT
• Christopher J Quinn, MD
• Zondra M Quinn
• Lisa D Raderstorf, PA-C
• Rahma Wellness & Counseling LLC
• Kiley Ramer, BCBA

• Pediatrics Physician in Granger, IN
• Providers in Granger, IN by specialty
• Pediatrics Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2008; 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.