GREENWOOD PEDIATRICS NPI 1306003538

NPI Information

  • NPI: 1306003538
  • Provider Name: GREENWOOD PEDIATRICS
  • Classification: Pediatrics - 208000000X
  • Entity Type: Organization
  • Address: 720 W FRANKLIN ST
    SUITE 1
    JACKSON, MI
    ZIP 49201
  • Phone: (517) 784-9104

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NPI Details

GREENWOOD PEDIATRICS is a pediatrics in Jackson, MI. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. GREENWOOD PEDIATRICS NPI is 1306003538. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

720 W FRANKLIN ST
SUITE 1
JACKSON, MI
ZIP 49201-674
Phone: (517) 784-9104
Fax: (517) 784-9107

The provider's authorized official is Naseer Humayun .
The authorized official title is Owner and has the following contact phone number (517) 784-9104.

The enumeration date for this NPI number is 5/16/2008 and was last updated on 5/19/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatricsNH033036MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
18503811891OTHERMICHIGANBLUE CARE NETORK
21220021OTHERMICHIGANPHP
3102196OTHERMICHIGANPREFERRED CHOICES
48503811891OTHERMICHIGANBLUE CROSS BLUE SHIELD
55192038OTHERMICHIGANAETNA
6900039729OTHERMICHIGANPRIORITY HEALTH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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