Kent Pediatrics, PC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

KENT PEDIATRICS, PC

Practice address

4735 West River Dr.
Comstock Park, MI 49321

Phone

(616) 784-9400

NPI assigned

Oct 5, 2006

Last updated

Jul 22, 2015By 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

Mrs. Kathy Kukawski

Title

Office Manager

Phone

(616) 784-9400

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

Practitioners 8

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.

• Carissa Elaine Chase, M.D.

  • Pediatrics Physician
  • Comstock Park, MI
  • NPI 1427211309
  NPD (past)
• Tamara Paola Gonzalez Copo

  • Pediatrics Physician
  • Comstock Park, MI
  • NPI 1457960502
  NPD (past)
• Janette M Morin-Sims, MD

  • Pediatrics Physician
  • Comstock Park, MI
  • NPI 1285683631
  NPD (past)
• Joanne Peterson, MD

  • Pediatrics Physician
  • Comstock Park, MI
  • NPI 1396853107
  NPD (past)
• Merry Kathleen Riley, MD

  • Pediatrics Physician
  • Comstock Park, MI
  • NPI 1558311993
  NPD (past)
• Gary L Vandyken, MD

  • Pediatrics Physician
  • Comstock Park, MI
  • NPI 1396795738
  NPD (past)
• Robert J Veenema, DO

  • Pediatrics Physician
  • Grand Rapids, MI
  • NPI 1164471587
  NPD (past)
• Nicholas P Kokx, MD

  • Pediatrics Physician
  • Comstock Park, ID
  • NPI 1174572671
  NPD (past)

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437523200000",
    "number": "1871689638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4735 WEST RIVER DR.",
            "city": "COMSTOCK PARK",
            "state": "MI",
            "postal_code": "49321",
            "telephone_number": "616-784-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4735 WEST RIVER DR.",
            "city": "COMSTOCK PARK",
            "state": "MI",
            "postal_code": "49321",
            "telephone_number": "616-784-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENT PEDIATRICS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2015-07-22",
        "status": "A",
        "authorized_official_last_name": "KUKAWSKI",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "616-784-9400",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Icare Home Health, LLC
• Linda Lee Ide-Way, R.PH.
• Jeannette Abney (Jireh Provisions)
• Sarah Jean Johnson
• Keith R Moulds OD PC (Alphine Family Eyecare)
• Kim Kinstle, SLP
• Vicky Lynne Klaassen, CPHT
• Daniel K Koschtial, DPM
• Legacy Family Chiropractic
• Carlie Little

• Pediatrics Physician in Comstock Park, MI
• Providers in Comstock Park, MI by specialty
• Pediatrics Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2015; 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.