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OAKLAND PEDIATRICS PLC NPI 1528155264


NPI Information

NPI: 1528155264
Provider Name: OAKLAND PEDIATRICS, PLC
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 23D0983415

Address:
100 N POND DR
SUITE E
WALLED LAKE, MI
ZIP 48390
Phone: (248) 669-2273
Get Directions

OAKLAND PEDIATRICS, PLC is a pediatrics in Walled Lake, 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. OAKLAND PEDIATRICS, PLC NPI is 1528155264. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

100 N POND DR
SUITE E
WALLED LAKE, MI
ZIP 48390-079
Phone: (248) 669-2273

The provider's authorized official is Regina E Rizk .
The authorized official title is President and has the following contact phone number (248) 699-2273.

The CLIA number assigned to this NPI record is 23D0983415 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/6/2006 and was last updated on 4/25/2014.


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
1208000000XPediatricsRR052769MICHIGANYes

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
1F70284MEDICARE UPINMICHIGAN
2350F339890OTHERMICHIGANBCBS OF MICHIGAN

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: 5/5/2024

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