CLYDE PARK PEDIATRICS, P.C. – NPI #1275558926
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

CLYDE PARK PEDIATRICS, P.C. is a provider located in WYOMING, MI. NPPES has assigned the NPI number 1275558926 to CLYDE PARK PEDIATRICS, P.C. on July 13, 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 12 years ago on Jun 10, 2014. 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 CLYDE PARK PEDIATRICS, P.C. below.

NPI Profile for
CLYDE PARK PEDIATRICS, P.C.

NPI Number
1275558926
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
CLYDE PARK PEDIATRICS, P.C.
Primary location
3637 CLYDE PARK AVE SW STE 4
WYOMING, MI 49509
Phone: (616) 808-3265 Fax: (616) 726-7019
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
FLOR BORRERO
OWNER
Phone: (616) 808-3265
Updated
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.