MCLAREN MACOMB – NPI #1063690857
Pediatrics

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.

Health Care Provider Taxonomy Code for Pediatrics

MCLAREN MACOMB is a provider located in MOUNT CLEMENS, MI. NPPES has assigned the NPI number 1063690857 to MCLAREN MACOMB on February 05, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was previously updated about 8 years ago on May 23, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MCLAREN MACOMB below.

NPI Profile for
MCLAREN MACOMB

NPI Number
1063690857
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MCLAREN MACOMB
Primary location
1000 HARRINGTON ST
MOUNT CLEMENS, MI 48043
Phone: (586) 493-8000 Fax:
Mailing address
401 S BALLENGER HWY
FLINT, MI 48532-3638
Phone: (810) 342-1000 Fax: (810) 342-1590
Organization Subpart
Yes - MCLAREN MACOMB is subpart of another organization.
Authorized Official
THOMAS BRISSE
CEO
Phone: (586) 493-8083
Updated
Identifiers

Identifiers for MCLAREN MACOMB

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBLUE CROSS BLUE SHIELDMI0E06116
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208000000X
- Pediatrics (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.