MY SECOND HOME PEDIATRICS PLLC (NPI# 1285920462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285920462 |
| Entity Type | Organization |
| Organization Name | MY SECOND HOME PEDIATRICS PLLC |
| Practice Address |
31000 Telegraph Rd Sutie 100 Bingham Farms MI 48025-4360 |
| Mailing Address |
31000 Telegraph Rd Suite 100 Bingham Farms MI 48025-4360 |
| Practice Telephone | 2488650030 |
| Mailing Telephone | 2488650030 |
| Enumeration Date | 2011-06-25 |
| Last Update Date | 2011-07-04 |
| Authorized Official Name | DR. KALPANA SHAH (MEMBER) |
| Authorized Official Telephone | 2488650030 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 2732113 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 3289496 | 05 |
| Street Address |
31000 TELEGRAPH RD SUTIE 100 |
| City | BINGHAM FARMS |
| State | MI |
| Zip Code | 48025-4360 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912906397 | John M Schmitz | Optometrist | 31000 Telegraph Rd, Suite 140, Bingham Farms, MI 48025-4360 | 2005-07-19 |
| 1154868545 | Craig Singer Md Dermatology | Pediatrics | 31000 Telegraph Rd, Ste 260, Bingham Farms, MI 48025-4360 | 2017-01-24 |
| 1083060313 | Raphael Don Levin | Social Worker | 31000 Telegraph Rd, Suite 120, Bingham Farms, MI 48025-4360 | 2016-05-05 |
| 1104235225 | Bingham Farms Family Dentistry | Dentist | 31000 Telegraph Rd, Suite 160, Bingham Farms, MI 48025-4360 | 2014-08-04 |
| 1740615210 | Rebecca Horn | Psychologist | 31000 Telegraph Rd, Suite 150, Bingham Farms, MI 48025-4360 | 2013-09-03 |
| 1164773867 | Pamela Adele Kanehann | Social Worker | 31000 Telegraph Rd, Suite 130, Bingham Farms, MI 48025-4360 | 2012-09-21 |
| 1205113776 | Rhonna Nelson, Msw, P.C. | Social Worker | 31000 Telegraph Rd, Suite 150, Bingham Farms, MI 48025-4360 | 2011-11-10 |
| 1013187541 | Heron Ridge Associates, Plc | Clinic/Center | 31000 Telegraph Rd, Suite 120, Bingham Farms, MI 48025-4360 | 2008-03-12 |
| 1013196526 | Susan Rosen | Marriage & Family Therapist | 31000 Telegraph Rd, Bingham Farms, MI 48025-4360 | 2007-10-31 |
| 1932390317 | Andrey Lutskovsky | Internal Medicine | 31000 Telegraph Rd, Ste. 140, Bingham Farms, MI 48025-4360 | 2007-08-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518571413 | Cole Nicolas Gomez | Technician/Technologist | 32199 Telegraph Rd, Bingham Farms, MI 48025 | 2020-09-08 |
| 1346859212 | Jordyn Jones | Technician/Technologist | 32199 Telegraph Rd Ste 205, Bingham Farms, MI 48025 | 2020-07-27 |
| 1013492644 | Shaniya Hyman | Technician/Technologist | 32100 Telegraph Rd Suit 205, Bingham Farms, MI 48025 | 2018-09-28 |
| 1043799042 | Assisted Home Health | Hospice Care, Community Based | 20150 Plantation Ln, Beverly Hills, MI 48025 | 2018-08-09 |
| 1235618224 | Robert Dean Harley | Technician/Technologist | 31200 Telegraph Rd Ste 205, Bingham Farms, MI 48025 | 2018-08-09 |
| 1760973911 | Tailormed Medical Inc | Case Management | 30100 Telegraph Road, Suite 403, Bringham Farms, MI 48025 | 2018-05-23 |
| 1245745447 | Supportive Home Health Care LLC | Home Health | 30100 Telegraph Rd Ste 478, Bingham Farms, MI 48025 | 2017-12-11 |
| 1265954192 | Breeona Rue | Technician/Technologist | 32100 Telegraph Rd Suite 205, Bingham Farms, MI 48025 | 2017-07-12 |
| 1417478132 | Gina Maria Bignotti | Behavior Technician | 32100 Telegraph, Bingham Farms, MI 48025 | 2017-07-03 |
| 1295256238 | Chanel Matti | Behavior Technician | 32100 Telegraph Rd Suite 185, Bingham Farms, MI 48025 | 2017-06-29 |
| Find all providers in zip 48025 | ||||
| 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 |
|---|---|---|---|---|
| 1699161042 | Sarah Rasul Chaudhry | Pediatrics | 30400 Telegraph, Suite 101, Bingham Farms, MI 48025 | 2015-04-13 |
| 1861504334 | Susan Ellen Sauber | Pediatrics | 31600 Telegraph Road, Ste 100, Bingham Farms, MI 48025 | 2006-08-31 |
| 1700994258 | Patricia Ann Smith | Pediatrics | 31600 Telegraph, Suite 100, Bingham Farms, MI 48025 | 2006-08-25 |
| 1346358967 | Martin P. Levinson | Pediatrics | 31600 Telegraph Rd Ste 100, Bingham Farms, MI 48025-4371 | 2006-08-25 |
| 1154868545 | Craig Singer Md Dermatology | Pediatrics | 31000 Telegraph Rd, Ste 260, Bingham Farms, MI 48025-4360 | 2017-01-24 |
| 1316359854 | Jacqueline Susan Metz | Pediatrics | 31500 Telegraph Rd, Ste 105, Bingham Farms, MI 48025 | 2014-06-02 |
| 1780995498 | Michelle Anne Faber | Pediatrics | 31500 Telegraph Rd, Ste 105, Bingham Farms, MI 48025-4367 | 2010-06-28 |
| 1790006187 | Sapna Brogan | Pediatrics | 31500 Telegraph Rd, Ste 105, Bingham Farms, MI 48025-4367 | 2010-06-20 |
| 1265617872 | Suzanne Peplinski | Pediatrics | 31500 Telegraph Rd, Suite105, Bingham Farms, MI 48025-4367 | 2008-01-02 |
| 1689876583 | Hannan J. Alsahlani | Pediatrics | 31500 Telegraph Rd, Ste 105, Bingham Farms, MI 48025-4367 | 2007-06-03 |
| Find all providers in BINGHAM FARMS | ||||
| City | BINGHAM FARMS |
| Zip Code | 48025 |
Please comment or provide details below to improve the information on MY SECOND HOME PEDIATRICS PLLC.
| 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.