SHELBY PEDIATRIC ASSOCIATES AND CHILD LUNG CENTER PC – NPI #1124051990
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.

SHELBY PEDIATRIC ASSOCIATES AND CHILD LUNG CENTER PC is a provider located in SHELBY, MI. NPPES has assigned the NPI number 1124051990 to SHELBY PEDIATRIC ASSOCIATES AND CHILD LUNG CENTER PC on July 07, 2006. 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 2 years ago on Mar 27, 2024. 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 SHELBY PEDIATRIC ASSOCIATES AND CHILD LUNG CENTER PC below.

NPI Profile for
SHELBY PEDIATRIC ASSOCIATES AND CHILD LUNG CENTER PC

NPI Number
1124051990
Enumeration Date

(about 20 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
SHELBY PEDIATRIC ASSOCIATES AND CHILD LUNG CENTER PC
Primary location
15125 22 MILE RD
SHELBY, MI 48315-4406
Phone: (586) 532-0599 Fax: (586) 566-8967
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MARIA PELLERITO
OFFICE MANAGER
Phone: (586) 532-0599
Updated
Certification Date
Mar 27, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for SHELBY PEDIATRIC ASSOCIATES AND CHILD LUNG CENTER PC

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
medicaidMI4432864
medicaidMI4669589
medicaidMI4432882
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)
MI AR2460549

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.