Kiddie Health Pediatrics, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

M43832 Issued in MD

Legal business name

KIDDIE HEALTH PEDIATRICS, LLC

Practice address

1232 Race Rd
Suite 303
Baltimore, MD 21237-2351

Phone

(410) 687-0808

Fax

(410) 687-0070

NPI assigned

Mar 29, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Melanie Magpantay Garcia, MD

Title

Owner

Phone

(410) 665-2823

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

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 2

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

• Melanie Perez Magpantay-Garcia, MD

  • Pediatrics Physician
  • Baltimore, MD
  • NPI 1518917293
  Medicare reassignment
• Megan Kretzschmar, MSN, RN, CPNP

  • Pediatric Nurse Practitioner
  • Baltimore, MD
  • NPI 1275069619
  NPD (past)

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317081600000",
    "number": "1932229663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70011",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212376011",
            "telephone_number": "410-665-2823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1232 RACE RD",
            "address_2": "SUITE 303",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212372351",
            "telephone_number": "410-687-0808",
            "fax_number": "410-687-0070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDDIE HEALTH PEDIATRICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2011-09-27",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_middle_name": "MAGPANTAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-665-2823",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MD",
            "license": "M43832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Kickler, M.D.
• Caitlyn Kicza
• Matthew Paul Kiczek, D.O.
• Bethel Tewolde Kidane, PA -C
• Molly Kidd, AGACNP-BC
• Kidkinetics Therapy LLC
• Kidney Home Center, LLC
• Michael S Kidorf, PH.D.
• Kids First PT, LLC
• Corey Kidwell

• Specialist in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Specialist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.