PREMIER PEDIATRICS (NPI# 1417407032) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417407032 |
| Entity Type | Organization |
| Organization Name | PREMIER PEDIATRICS |
| Practice Address |
22318 Ford Rd Dearborn Heights MI 48127-2421 |
| Practice Telephone | 3132782788 |
| Practice Fax Number | 3132788215 |
| Mailing Telephone | 3132782788 |
| Mailing Fax Number | 3132788215 |
| Enumeration Date | 2016-10-06 |
| Last Update Date | 2016-10-06 |
| Authorized Official Name | DR. MAZEN NASEEB HAMAMEH (MEMBER PHYSICIAN) |
| Authorized Official Telephone | 3132782788 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 5101016795 | MI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174970396 | Premier Pediatrics | Pediatrics | 22318 Ford Rd, Dearborn Heights, MI 48127-2421 | 2016-05-17 |
| 1144650714 | Premier Pediatrics | Pediatrics | 224 Chimney Corner Ln, Suite 2032, Jupiter, FL 33458-4800 | 2013-11-19 |
| 1528493137 | Premier Pediatrics | Pediatrics | 7960 Sw 60th Ave, Suite 200, Ocala, FL 34476-6457 | 2013-09-13 |
| 1174723191 | Premier Pediatrics | Pediatrics | 263 7th Ave, Suite 4h, Brooklyn, NY 11215-3689 | 2007-07-18 |
| 1639374473 | Premier Pediatrics | Pediatrics | 10000 W Colonial Dr, Suite 390, Ocoee, FL 34761-3498 | 2007-06-20 |
| 1629194147 | Premier Pediatrics | Pediatrics | 26040 Detroit Rd, Suite 7, Westlake, OH 44145-2481 | 2007-03-22 |
| 1043355449 | Premier Pediatrics | Pediatrics | 705 E Marshall Ave, Suite 1002, Longview, TX 75601-5563 | 2007-02-21 |
| 1376527143 | Premier Pediatrics | Pediatrics | 1405 Metro Dr, Bldg L, Alexandria, LA 71301-3448 | 2005-12-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Premier Pediatrics Corp. | 1606 Prairie Center Parkway, Brighton, CO 80601 |
| Washington State Corporations | PREMIER PEDIATRICS PLLC | 1700 Nw Gilman Blvd Ste 205, Issaquah, WA 98027-5364 |
| Street Address |
22318 FORD RD |
| City | DEARBORN HEIGHTS |
| State | MI |
| Zip Code | 48127-2421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649310616 | Pamela Diane Brown | Optometrist | 22318 Ford Rd, Dearborn Heights, MI 48127-2421 | 2007-02-07 |
| 1609358605 | Amy Marie Meek | Nurse Practitioner | 22318 Ford Rd, Dearborn Heights, MI 48127-2421 | 2018-09-05 |
| 1174970396 | Premier Pediatrics | Pediatrics | 22318 Ford Rd, Dearborn Heights, MI 48127-2421 | 2016-05-17 |
| 1972973592 | West Point Optical Group | Optometrist | 22318 Ford Rd, Dearborn Heights, MI 48127-2421 | 2015-09-25 |
| 1114069176 | Kara Alexander | Optometrist | 22318 Ford Rd, Dearborn Heights, MI 48127-2421 | 2007-02-13 |
| 1083754485 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 22318 Ford Rd, Dearborn Heights, MI 48127-2421 | 2007-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952945842 | Lashay Donnetta Byars Biles | Licensed Practical Nurse | 25639 Ford Rd., Dearborn Heights, MI 48127 | 2019-11-04 |
| 1174098982 | George Mousa Mufarreh | Specialist/Technologist, Other | 21630 Breechcrest St., Dearborn Heights, MI 48127 | 2018-10-08 |
| 1285110312 | Fastcaremd Urgent Care PC | Clinic/Center | 6012 N Vernon St, Dearborn Heights, MI 48127 | 2018-07-11 |
| 1356845689 | Wayne Medical Supply | Durable Medical Equipment & Medical Supplies | 26808 Simone St., Dearborn Hts., MI 48127 | 2018-03-21 |
| 1538516729 | Reliable Rehab LLC | Clinic/Center | 22101 W. Warren Ave, Dearborn Heights, MI 48127 | 2016-05-18 |
| 1407232739 | Tri-care Physical Therpay, LLC | Clinic/Center | 24100 W. Warren Ave, Dearborn Heights, MI 48127 | 2015-08-10 |
| 1083012322 | Golden Physical Therapy Pllc | Internal Medicine | 22243 West Warren St, Dearborn Heights, MI 48127 | 2014-12-19 |
| 1225448079 | Kristen Georgina-elizabeth Bogden | Occupational Therapist | 22241 Ann Arbor Trail, Dearborn Heights, MI 48127 | 2014-05-02 |
| 1306276183 | Qazi Healthcare | Family Medicine | 25150 Ford Rd, Ste 100, Dearborn Heights, MI 48127 | 2013-11-15 |
| 1497193957 | Keyyan Medical Pllc | Internal Medicine | 22239 West Warren Ave, Dearborn Heights, MI 48127 | 2013-06-06 |
| Find all providers in zip 48127 | ||||
| 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 |
|---|---|---|---|---|
| 1265472104 | Lorette N Haddad | Pediatrics | 23801 W Warren St, Dearborn Heights, MI 48127-2236 | 2006-06-08 |
| 1437794112 | River Oaks Primary Care Pllc | Pediatrics | 20211 Ann Arbor Trl, Dearborn Heights, MI 48127-2691 | 2019-11-17 |
| 1205312428 | Michigan Primary Care Center PC | Pediatrics | 6012 N Vernon St, Dearborn Heights, MI 48127 | 2018-07-11 |
| 1174970396 | Premier Pediatrics | Pediatrics | 22318 Ford Rd, Dearborn Heights, MI 48127-2421 | 2016-05-17 |
| 1740570811 | Vinaya K. Gavini Mdpc | Pediatrics | 8550 N Silvery Ln, Suite 101, Dearborn Heights, MI 48127-4510 | 2011-04-11 |
| 1215142153 | Mazen Naseeb Hamameh | Pediatrics | 22350 Ford Rd, Dearborn Heights, MI 48127-2421 | 2007-05-14 |
| 1578543112 | Nazem Alhusein | Pediatrics | 20211 Ann Arbor Trl, River Oaks Pediatrics, Dearborn Heights, MI 48127-2691 | 2006-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700498946 | Positively Pediatrics Pllc | Pediatrics | 120 N Bridge St Ste D, Linden, MI 48451-8823 | 2020-08-19 |
| 1730708058 | Xuexin Lu | Pediatrics | 22101 Moross Rd Ste 80, Detroit, MI 48236-2148 | 2020-04-16 |
| 1083252324 | Faith Cares Inc | Pediatrics | 9633 Sil St, Taylor, MI 48180-3028 | 2019-12-17 |
| 1013560473 | Muhammad Waqas | Pediatrics | Beaumont Hospital Royal Oak, 3601 W 13 Mile Rd, Royal Oak, MI 48073 | 2019-07-24 |
| 1528611175 | Emad Kassas | Pediatrics | 358 E Chicago St Ste C, Coldwater, MI 49036-2072 | 2019-07-23 |
| 1457911877 | Zachary Todd Goldstein | Pediatrics | Cedar Pediatrics 5303 S. Cedar St, Suite 205, Lansing, MI 48911 | 2019-06-18 |
| 1811553597 | Emile Muallem | Pediatrics | 1500 E. Med. Ctr Dr, Ann Arbor, MI 48109-5718 | 2019-05-17 |
| 1215403597 | Mfed Mosely | Pediatrics | 21840 23rd Mile Road, Macomb Twnp, MI 48040-2496 | 2018-10-15 |
| 1811473234 | Joyful Pediatrics, Pllc | Pediatrics | 820 Byron Rd Ste 600, Howell, MI 48843-1072 | 2018-07-18 |
| 1386139913 | Southfield Pediatrics Pllc | Pediatrics | 28500 Southfield Rd Ste 100, Lathrup Village, MI 48076-2722 | 2018-06-26 |
| Find all providers with the same taxonomy | ||||
| City | DEARBORN HEIGHTS |
| Zip Code | 48127 |
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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.