Tender Care Pediatrics, PLLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

4301073327 Issued in MI

Legal business name

TENDER CARE PEDIATRICS, PLLC

Practice address

58115 Main St
New Haven, MI 48048-2686

Phone

(586) 749-4444

NPI assigned

Aug 11, 2011

Last updated

Jan 17, 2017By 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

Anne Miyoung Vondrachek, MDNPI 1033225339

Title

Physician

Phone

(586) 749-4444

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 3

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.

• Anne Miyoung Vondrachek, M.D.

  • Pediatrics Physician
  • New Haven, MI
  • NPI 1033225339
  NPD (past) Authorized official
• Alexis Robin Balomenos, M.D.

  • Pediatrics Physician
  • New Haven, MI
  • NPI 1477569903
  NPD (past)
• Douglas Edward Elsey, FNP

  • Family Nurse Practitioner
  • New Haven, MI
  • NPI 1366990061
  NPD (past)

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

{
    "created_epoch": "1313020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484611200000",
    "number": "1992084693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58115 MAIN ST",
            "city": "NEW HAVEN",
            "state": "MI",
            "postal_code": "480482686",
            "telephone_number": "586-749-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58115 MAIN ST",
            "city": "NEW HAVEN",
            "state": "MI",
            "postal_code": "480482686",
            "telephone_number": "586-749-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENDER CARE PEDIATRICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-11",
        "last_updated": "2017-01-17",
        "status": "A",
        "authorized_official_last_name": "VONDRACHEK",
        "authorized_official_first_name": "ANNE",
        "authorized_official_middle_name": "MIYOUNG",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "586-749-4444",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301073327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Simmons, RN
• Debra Smith, RN
• Charles Joseph Sobers, DDS
• Adrianne Jones Steiner, MA LPC CAADC NCC
• TC Counseling Transformations, PLLC
• Brooke Tenhopen
• Tanesha Terrell, LMSW
• Thriveclearmind LLC
• Katherine Tyrrell, RD
• Kimberly Irene Vogel, DDS

• Pediatrics Physician in New Haven, MI
• Providers in New Haven, MI by specialty
• Pediatrics Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2017; 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.