HILLSDALE PEDIATRICS CLINIC PC – NPI #1992937148
Pediatrics

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

HILLSDALE PEDIATRICS CLINIC PC is a provider located in HILLSDALE, MI. NPPES has assigned the NPI number 1992937148 to HILLSDALE PEDIATRICS CLINIC PC on August 20, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The former legal business name for this organization is HILLSDALE PEDIATRICS. The primary taxonomy selected by this provider is 2080A0000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Adolescent Medicine

The NPI profile was previously updated about 13 years ago on Aug 06, 2013. 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 HILLSDALE PEDIATRICS CLINIC PC below.

NPI Profile for
HILLSDALE PEDIATRICS CLINIC PC

NPI Number
1992937148
Enumeration Date

(about 17 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
HILLSDALE PEDIATRICS CLINIC PC
Former Legal Business Name: HILLSDALE PEDIATRICS
Primary location
451 HIDDEN MEADOWS DR
SUITE 200
HILLSDALE, MI 49242-9812
Phone: (517) 437-8325 Fax: (517) 437-8327
Mailing address
1131 N OSSEO RD
P.O. BOX 187
HILLSDALE, MI 49242-9714
Phone: (517) 523-3695 Fax: (517) 523-3311
Organization Subpart
No
Authorized Official
MICHAEL SACKMAN
OWNER
Phone: (517) 437-8325
Updated
Identifiers

Identifiers for HILLSDALE PEDIATRICS CLINIC 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
OTHERBCBSM3503013872
MEDICAIDMI105336218
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
2080A0000X
- Pediatrics / Adolescent Medicine (Primary)
MI MS086960

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.