Tender Care Pediatrics, PLLC – Pediatrics Physician

Key facts

NPI: 1992084693
Entity type: Organization (NPI type 2)
Primary specialty: Pediatrics Physician 208000000X
License: 4301073327 (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
Organization subpart: No

Authorized official

Name: Anne Miyoung Vondrachek, MD
Title: Physician
Phone: (586) 749-4444

Practitioners 3

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

Alexis Robin Balomenos, M.D. Pediatrics Physician · New Haven, MI · NPI 1477569903

NPD (past) PEDIATRICS
Douglas Edward Elsey, FNP Family Nurse Practitioner · New Haven, MI · NPI 1366990061

NPD (past)
Anne Miyoung Vondrachek, M.D. Pediatrics Physician · New Haven, MI · NPI 1033225339

NPD (past) PEDIATRICS

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA number	Laboratory	Certificate	Expires
23D2028304	Tender Care Pediatrics 58115 Main Street, New Haven, MI 48048	Certificate of waiver	Aug 14, 2027

National Provider Directory

Locations

58115 Main St
New Haven, MI 48048
Phone (586) 749-4444

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Pediatrics Physician Group: 193400000X SINGLE SPECIALTY GROUP	208000000X	4301073327	MI	Yes

Addresses

Primary practice location

58115 Main St
New Haven, MI 48048-2686

Mailing address

58115 Main St
New Haven, MI 48048-2686
Phone (586) 749-4444

Other providers in New Haven, MI

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

All providers in New Haven, MI · Pediatrics Physician in Michigan

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 17, 2017. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Care Compare provider data (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.