PEDIATRIC CLINIC ASSOCIATES – NPI #1558529628
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.

PEDIATRIC CLINIC ASSOCIATES is a provider located in PLYMOUTH, MI. NPPES has assigned the NPI number 1558529628 to PEDIATRIC CLINIC ASSOCIATES on May 27, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, 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 14 years ago on Nov 02, 2012. 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 PEDIATRIC CLINIC ASSOCIATES below.

NPI Profile for
PEDIATRIC CLINIC ASSOCIATES

NPI Number
1558529628
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
PEDIATRIC CLINIC ASSOCIATES
Primary location
9365 N HAGGERTY RD
PLYMOUTH, MI 48170-4622
Phone: (734) 459-9260 Fax: (734) 459-0612
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MARY ALONZI
DOCTOR
Phone: (734) 459-9260
Updated
Identifiers

Identifiers for PEDIATRIC CLINIC ASSOCIATES

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 CARE NETWORK3558200335
OTHERBLUE CROSS BLUE SHIELD3558200335
MEDICAIDMI1345362
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)
2084N0402X
- Psychiatry & Neurology / Neurology with Special Qualifications in Child Neurology

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.