BEAUMONT PEDIATRIC CLINIC – NPI #1962566711
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

BEAUMONT PEDIATRIC CLINIC is a provider located in DEARBORN, MI. NPPES has assigned the NPI number 1962566711 to BEAUMONT PEDIATRIC CLINIC on December 19, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “BEAUMONT PEDIATRIC CLINIC” is a dba name, the actual legal business name for this organization is OAKWOOD AMBULATORY, LLC. 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 4 years ago on Jun 30, 2022. 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 BEAUMONT PEDIATRIC CLINIC below.

NPI Profile for
OAKWOOD AMBULATORY, LLC

NPI Number
1962566711
Enumeration Date

(more than 19 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
OAKWOOD AMBULATORY, LLC
Doing Business As (dba): BEAUMONT PEDIATRIC CLINIC
Primary location
18181 OAKWOOD BLVD STE G101
DEARBORN, MI 48124-5031
Phone: (313) 593-7240 Fax:
Mailing address
26901 BEAUMONT BLVD
SOUTHFIELD, MI 48033-3849
Phone: Fax:
Organization Subpart
No
Authorized Official
LESLEY WILLBRANDT
SR. DIRECTOR BEAUMONT SHARED SVCS
Phone: (947) 522-1911
Updated
Certification Date
Jun 30, 2022

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.

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.