HALO PEDIATRICS (NPI# 1215494125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215494125 |
| Entity Type | Organization |
| Organization Name | HALO PEDIATRICS |
| Practice Address |
17600 W Warren Ave Detroit MI 48228-3509 |
| Mailing Address |
22720 Michigan Ave Ste 200 Dearborn MI 48124-2021 |
| Practice Telephone | 3134504411 |
| Mailing Telephone | 3134504411 |
| Enumeration Date | 2019-02-27 |
| Last Update Date | 2019-02-27 |
| Authorized Official Name | HANADY BEYDOUN (OFFICE MANAGER) |
| Authorized Official Telephone | 3139937777 |
| Is Organization Subpart | Y |
| Parent Organization Name | HALO MEDICAL GROUP PLLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CAQH | 13511211 | 01 |
| Street Address |
17600 W WARREN AVE |
| City | DETROIT |
| State | MI |
| Zip Code | 48228-3509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104245653 | Advanced Chiropractic | Chiropractor | 17600 W Warren Ave, Detroit, MI 48228-3509 | 2014-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932737210 | West Park Pharmacy LLC | Pharmacy | 16240 W Warren Ave, Detroit, MI 48228 | 2020-03-31 |
| 1316433329 | 4 Ur Recovery Therapy, LLC | Clinic/Center | 19201 Warren St, Detroit, MI 48228 | 2018-07-03 |
| 1003309063 | Marquita Outlaw | Registered Nurse | 8290 Coyle St, Detroit, MI 48228 | 2018-06-13 |
| 1043746548 | Am-pm Transportation Services LLC | Private Vehicle | 18640 Joy Road, Detroit, MI 48228 | 2017-05-04 |
| 1770023491 | Goodcompany Aop Inc | In Home Supportive Care | 8946 Prest St, Detroit, MI 48228 | 2017-02-28 |
| 1881049260 | Christine Jackson | Social Worker | 9115 Warwick, Detroit, MI 48228 | 2016-05-04 |
| 1790157774 | Shakail Bronta Hill | Adult Companion | 7729 Clayburn, Detroit, MI 48228 | 2015-10-29 |
| 1275904583 | Denarol Cunningham | Contractor | 7248 Vaughan, Detroit, MI 48228 | 2015-10-13 |
| 1023493210 | Larry Foster | Technician, Other | 9334 Memorial, Detroit, MI 48228 | 2015-07-29 |
| 1093126872 | Reza Hafezi | Chiropractor | 17600 W. Warren Ave., Detroit, MI 48228 | 2014-05-14 |
| Find all providers in zip 48228 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | 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. |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730708058 | Xuexin Lu | Pediatrics | 22101 Moross Rd Ste 80, Detroit, MI 48236-2148 | 2020-04-16 |
| 1235636408 | Healthy Kids Plc | Pediatrics | 18060 Conant St, Detroit, MI 48234-1628 | 2018-04-12 |
| 1841720539 | Krystal Yee-yun Chan-zlatopolsky | Pediatrics | 22201 Moross Rd Ste 80, Detroit, MI 48236-2166 | 2017-06-14 |
| 1508220062 | Marlisa Rose Wolf | Pediatrics | Children's Hospital of Mi - 3rd Fl, 3901 Beaubien, Detroit, MI 48201 | 2016-04-11 |
| 1821418419 | Christina Louise Santia | Pediatrics | Children's Hospital of Mi/ Spec Ctr, 3950 Beaubien Garden Level, Detroit, MI 48201 | 2014-04-22 |
| 1033537089 | Kimberly Lynn Herrmann | Pediatrics | Children's Hospital of Mi / Spec Ctr, 3950 Beaubien, Detroit, MI 48201 | 2014-04-06 |
| 1932540622 | Ramya Deepthi Billa | Pediatrics | 3901 Beaubien - 3rd Fl, Children's Hospital of Mi, Detroit, MI 48201 | 2013-07-10 |
| 1942646658 | Silpa Nadella | Pediatrics | 3950 Beaubien St Fl 4, Detroit, MI 48201-2166 | 2013-05-21 |
| 1770826984 | Lonetta L Postell | Pediatrics | 3031 W. Grand Blvd, 800, Detroit, MI 48202-2119 | 2013-04-05 |
| 1578806964 | Scott C Grant | Pediatrics | Chm/specialty Center, 3950 Beaubien 1st Fl, Detroit, MI 48201 | 2013-04-03 |
| Find all providers in DETROIT | ||||
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| 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.