REGENTS OF THE UNIVERSITY OF MICHIGAN-PEDIATRIC SURGERY OFFSITE (NPI# 1194978213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194978213 |
| Entity Type | Organization |
| Organization Name | REGENTS OF THE UNIVERSITY OF MICHIGAN-PEDIATRIC SURGERY OFFSITE |
| Practice Address |
4642 Genesys Parkway Grand Blanc MI 48439-8067 |
| Mailing Address |
3621 S State St 700 Kms Place Ann Arbor MI 48108 |
| Practice Telephone | 8106065830 |
| Mailing Telephone | 7349362047 |
| Enumeration Date | 2008-11-03 |
| Last Update Date | 2008-11-03 |
| Authorized Official Name | DAVID A SPAHLINGER (EXEC MEDICAL DIRECTOR FACULTY GRP) |
| Authorized Official Telephone | 7349363568 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| Y | 2080P0206X |
Pediatrics Specialization: Pediatric Gastroenterology |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750534871 | Regents of The University of Michigan-pediatric Surgery Offsite | Pediatrics | 4642 Genesys Parkway, Grand Blanc, MI 48439-8067 | 2008-11-03 |
| 1003069139 | Regents of The University of Michigan-pediatric Surgery Offsite | Psychiatry & Neurology | 4642 Genesys Parkway, Grand Blanc, MI 48439-8067 | 2008-11-03 |
| 1821241951 | Regents of The University of Michigan-pediatric Surgery Offsite | Pediatrics | 4642 Genesys Parkway, Grand Blanc, MI 48439-8067 | 2008-11-03 |
| 1659524908 | Regents of The University of Michigan-pediatric Surgery Offsite | Pediatrics | 4642 Genesys Parkway, Grand Blac, MI 48439-8067 | 2008-10-30 |
| Street Address |
4642 GENESYS PARKWAY |
| City | GRAND BLANC |
| State | MI |
| Zip Code | 48439-8067 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538386909 | Genesys Regional Medical Center | Pediatrics | 4642 Genesys Parkway, Grand Blanc, MI 48439-8067 | 2007-04-19 |
| 1750534871 | Regents of The University of Michigan-pediatric Surgery Offsite | Pediatrics | 4642 Genesys Parkway, Grand Blanc, MI 48439-8067 | 2008-11-03 |
| 1003069139 | Regents of The University of Michigan-pediatric Surgery Offsite | Psychiatry & Neurology | 4642 Genesys Parkway, Grand Blanc, MI 48439-8067 | 2008-11-03 |
| 1821241951 | Regents of The University of Michigan-pediatric Surgery Offsite | Pediatrics | 4642 Genesys Parkway, Grand Blanc, MI 48439-8067 | 2008-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811598931 | Fady Essi | Pharmacist | 6160 S Saginaw Road, Grand Blanc, 48439, USA 48439 | 2020-11-04 |
| 1407456254 | Bradley Dwane Murphy | Pharmacist | 6170 S Saginaw, Grand Blanc, MI 48439 | 2020-10-30 |
| 1457975476 | Lauren Nicole Holmes | Obstetrics & Gynecology | Gme Department, 1 Genesys Pkwy, Grand Blanc, MI 48439 | 2020-06-05 |
| 1366063927 | Hadeel Ghazi Barrawi | Family Medicine | Ascension Genesys Hospital, Office of Medical Education, One Genesys Parkway, Grand Blanc, MI 48439 | 2020-05-05 |
| 1245851427 | Adriana Sharp | Surgery | 1 Genesys, Grand Blanc, MI 48439 | 2020-04-29 |
| 1114485109 | Kristen Milefchik | Case Manager/Care Coordinator | 278 Fox Chase Blvd, Grand Blanc, MI 48439 | 2019-03-08 |
| 1588134175 | Audrie Brook Mullin | Registered Nurse | 2313 E. Hill Rd, Grand Blanc, MI 48439 | 2018-11-27 |
| 1457845703 | Michael Patrick Tuczynski | Family Medicine | One Genesys Parkway Ascension Genesys Hospital, Attn: Debra Shuck, Grand Blanc, MI 48439 | 2018-06-20 |
| 1104318112 | Wellbridge At Genesys Health Park, LLC | Skilled Nursing Facility | 3139 East Baldwin Road, Grand Blanc, MI 48439 | 2018-06-05 |
| 1336648393 | Raedeane Kenway | Dental Hygienist | 8542 Holly Rd, Grand Blanc, MI 48439 | 2018-02-06 |
| Find all providers in zip 48439 | ||||
| Taxonomy Code | 2080P0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Gastroenterology |
| A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477735587 | Genesys Regional Medical Center | Pediatrics | 4642 Genesys Pkwy, Grand Blanc, MI 48439-8067 | 2007-11-30 |
| 1801013271 | Genesys Regional Medical Center | Pediatrics | 4642 Genesys Pkwy, Grand Blanc, MI 48439-8067 | 2007-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154854685 | Digestive Care of Lansing Plc | Pediatrics | 503 Mall Ct # 145, Lansing, MI 48912-5200 | 2017-04-11 |
| 1215037569 | Janice B Heikenen | Pediatrics | 6287 Lagoon Lane, Box 439, Mohawk, MI 49950 | 2006-09-25 |
| 1881603975 | Vasundhara Tolia | Pediatrics | 4304 Copper Cliff, Bloomfield Hills, MI 48302-1922 | 2006-08-07 |
| 1538194055 | Safwan Malas | Pediatrics | 1200 E Michigan Ave Ste 410, Lansing, MI 48912-1850 | 2006-07-12 |
| 1629048699 | Deborah L Cloney | Pediatrics | 35 Michigan Ne, Suite 4150, Grand Rapids, MI 49503 | 2006-01-24 |
| 1841791217 | Ashley Joanne Ross | Pediatrics | 601 John St Ste M-351, Kalamazoo, MI 49007-5358 | 2018-02-21 |
| 1083146906 | S Madani Md PC | Pediatrics | 4727 Saint Antoine St, Suite 402, Detroit, MI 48201-1461 | 2017-03-30 |
| 1497165153 | Salman S. Salman | Pediatrics | 3901 Beaubien, Detroit, MI 48201-2119 | 2014-05-04 |
| 1083959522 | Promedica Central Physicians LLC | Pediatrics | 730 N Macomb St, Suite 300, Monroe, MI 48162-2900 | 2012-12-11 |
| 1336405554 | Jennifer B Mitsuya | Pediatrics | 3535 W 13 Mile Rd Ste 707, Royal Oak, MI 48073 | 2012-04-02 |
| Find all providers with the same taxonomy | ||||
| City | GRAND BLANC |
| Zip Code | 48439 |
Please comment or provide details below to improve the information on REGENTS OF THE UNIVERSITY OF MICHIGAN-PEDIATRIC SURGERY OFFSITE.
| 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.