Kids.Healthcare PC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

01044949 Issued in IN

Legal business name

KIDS.HEALTHCARE PC

Practice address

2510 E Dupont Rd
Suite 238
Fort Wayne, IN 46825-1600

Phone

(855) 200-7337

Fax

(888) 828-8197

NPI assigned

Mar 10, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Christopher P Tallo, M.D.

Title

Owner

Phone

(855) 200-7337

Specialties & licenses 1

Addresses

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/23977/brand/1/csg/1/fhir/r4

Practitioners 2

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

• Brittany Felten

  • Family Nurse Practitioner
  • Fort Wayne, IN
  • NPI 1124421383
  NPD (past)
• Lisa Moellering, RN, CPNP-PC

  • Pediatric Nurse Practitioner
  • Fort Wayne, IN
  • NPI 1992166490
  NPD (past)

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

{
    "created_epoch": "1457568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457568000000",
    "number": "1821459413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 E DUPONT RD",
            "address_2": "SUITE 238",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468251600",
            "telephone_number": "855-200-7337",
            "fax_number": "888-828-8197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 E DUPONT RD",
            "address_2": "SUITE 238",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468251600",
            "telephone_number": "855-200-7337",
            "fax_number": "888-828-8197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS.HEALTHCARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-10",
        "last_updated": "2016-03-10",
        "status": "A",
        "authorized_official_last_name": "TALLO",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "855-200-7337",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "IN",
            "license": "01044949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manpreet Khemka, M.D.
• Mahmoud Khreis
• Shayan Khurram, DO
• Fatima Khurrum, MD
• Kids Speak Therapy Services
• Shelby R Kiebel, NP
• Laura Kiefer, CD
• Felisha Kiehl, NP
• Nicholai Ian Kiehl, MD
• Cheryl L Kiel, PHYSICIAN ASSISTANT

• Pediatrics Physician in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Pediatrics Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2016; 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.