GREAT LAKES PEDIATRIC ASSOCIATES


Address: 3400 Pinetree Rd, Ste 102, Lansing, MI 48911-4286
Phone: 5178873000

GREAT LAKES PEDIATRIC ASSOCIATES (NPI# 1023342474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023342474
Entity Type Organization
Organization Name GREAT LAKES PEDIATRIC ASSOCIATES
Practice Address 3400 Pinetree Rd
Ste 102
Lansing
MI 48911-4286
Practice Telephone 5178873000
Mailing Telephone 5178873000
Enumeration Date 2009-10-01
Last Update Date 2009-10-01
Authorized Official Name MS. BETH ILEEN CHARLES (PRACTICE MANAGER)
Authorized Official Telephone 5178873000
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 208000000X Pediatrics 4301063626 MI Allopathic & Osteopathic Physicians
N 208000000X Pediatrics 4301078945 MI Allopathic & Osteopathic Physicians
N 208000000X Pediatrics 4301086445 MI Allopathic & Osteopathic Physicians
Y 208000000X Pediatrics 4301049233 MI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MI 3080275 05
MI NPI 1831309921 01
MI 3069367 05
MI NPI 1144338443 01
MI NPI 1730297045 01
MI NPI 1144338450 01
MI 4366885 05

Office Location

Street Address 3400 PINETREE RD
STE 102
City LANSING
State MI
Zip Code 48911-4286

Providers in the same location

NPI Name Taxonomy Address Enumeration
1144338443 Leslie K Reynolds Pediatrics 3400 Pinetree Rd, Ste 102, Lansing, MI 48911-4286 2006-08-27
1154716116 Nathan J. Dunham, D.c., P.l.l.c. Chiropractor 3400 Pinetree Rd, Suite 101, Lansing, MI 48911-4286 2015-04-06
1932466398 Chiropractic Professional Center, Pllc Chiropractor 3400 Pinetree Rd, Suite 101, Lansing, MI 48911-4286 2012-04-23

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1154943603 Promissa Personalized Care Services LLC Assisted Living Facility 200 E Edgewood Blvd, Lansing, MI 48911 2020-05-07
1457911877 Zachary Todd Goldstein Pediatrics Cedar Pediatrics 5303 S. Cedar St, Suite 205, Lansing, MI 48911 2019-06-18
1447713946 Fadi Nuseibeh Pharmacist 3955 Patient Care Drive, Pharmacy, Lansing, MI 48911 2019-04-11
1740704543 Kyle Lardie Dental Hygienist Care Free Medical and Dental 5135 S Pennsylvania Ave, Lansing, MI 48911 2017-08-02
1124549845 Joash Michael Charles Behavior Technician 3720 Richmond Street, Lansing, MI 48911 2017-07-03
1205212164 Benjamin Curtis Neal Dentist 5601 S Cedar St., Lansing, MI 48911 2015-08-03
1376927608 Heather Lamb Home Health 2919 Risdale St, Lansing, MI 48911 2015-07-16
1669861712 Lucas James Evan Joseph Bila Licensed Practical Nurse 2204 S. Wadsworth Dr, Lansing, MI 48911 2015-01-13
1649695271 Aaron James Hart Occupational Therapist 3960 Patient Care Dr Ste 117, Lansing, MI 48911 2014-02-18
1831465871 Los Equipment Corporation Dentist 6810 S. Cedar St, Suite 5, Lansing, MI 48911 2012-03-23
Find all providers in zip 48911

Taxonomy Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

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.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1457911877 Zachary Todd Goldstein Pediatrics Cedar Pediatrics 5303 S. Cedar St, Suite 205, Lansing, MI 48911 2019-06-18
1740790146 Theo Pediatric Health Pediatrics 1219 1/2 Turner St, Lansing, MI 48906-4341 2017-10-11
1891216834 Ahmad Khalil Pediatrics 1200 E Michigan Ave Ste 205, Lansing, MI 48912-1800 2017-06-29
1407386329 Ambria Faith Jump Pediatrics 5303 S Cedar St Ste 205, Lansing, MI 48911-3800 2017-06-13
1114478419 Jerry Joe Evans Pediatrics 610 W Ottawa St, Apt. 906, Lansing, MI 48933-1056 2016-10-21
1730561366 Christine Sims Pediatrics 7335 Westshire Dr Ste 102, Lansing, MI 48917-9703 2015-06-19
1548609225 Stephanie Anne Klein Pediatrics 2414 Lake Lansing Road, Lansing, MI 48912 2013-06-17
1679882005 Bhagya Mysore Venkatesh Pediatrics 901 East Michigan Avenue, Lansing, MI 48910 2010-10-04
1205147451 Erica Lillian Still Pediatrics 15673 Wood Rd, Lansing, MI 48906-1740 2010-06-22
1083877344 Sabrina Diane Dinkha Pediatrics 13750 S Sedona Parkway, Suite 2, Lansing, MI 48906 2008-07-08
Find all providers in LANSING

Competitor

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City LANSING
Zip Code 48911

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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