SANDRA STAUBLIN (NPI# 1558461756) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558461756 |
| Entity Type | Individual |
| Full Name | SANDRA STAUBLIN |
| Credential | MD |
| Practice Address |
4288 3 Mile Road Walker MI 49534 |
| Mailing Address |
4288 Three Mile Road Walker MI 49534 |
| Practice Telephone | 6164583677 |
| Practice Fax Number | 6164596850 |
| Mailing Telephone | 6164583677 |
| Mailing Fax Number | 6164596850 |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2007-07-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 4301057826 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
4288 3 MILE ROAD |
| City | WALKER |
| State | MI |
| Zip Code | 49534 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982799805 | Jeffrey Hoogstra | Pediatrics | 4288 3 Mile Road, Walker, MI 49534 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336792324 | Heather Duthler | Social Worker | 648 Kinney Ave Nw, Grand Rapids, MI 49534 | 2019-07-19 |
| 1114473550 | Tari Kruzel | Registered Nurse | 12955 3rd Ave Nw, Grand Rapids, MI 49534 | 2016-08-26 |
| 1972847184 | Indian Trails Camp, Inc. | Day Training, Developmentally Disabled Services | O-1859 Lake Michigan Dr. Nw, Grand Rapids, MI 49534 | 2012-11-15 |
| 1871743815 | Michael Robert Anderson Jr. | Chiropractor | 0-705 Tallmadge Woods Dr. Nw, Suite A, Grand Rapids, MI 49534 | 2008-09-26 |
| 1750459285 | Rick David Saier | Internal Medicine | 1175 Wilson Ave, Walker, MI 49534 | 2006-12-01 |
| 1154414886 | Edward D Young Dds PC | Dentist | 4310 Leonard Nw, Grand Rapids, MI 49534 | 2006-10-02 |
| 1700986999 | Belinda Chou | Pediatrics | 4288 Three Mile Road, Walker, MI 49534 | 2006-09-25 |
| 1639196603 | David Robert Felton | Chiropractor | 4110 Lake Michigan Dr Nw, Grand Rapids, MI 49534 | 2006-07-16 |
| 1952349235 | Chiropractic Plus, P.C. | Chiropractor | 0 699 Tallmadge Wds Nw, Suite B, Grand Rapids, MI 49534 | 2006-06-02 |
| 1326351156 | Quratul A Aziz | Internal Medicine | 1175 Wilson Ave Nw, Walker, MI 49534 | 2010-07-21 |
| Find all providers in zip 49534 | ||||
| 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 |
|---|---|---|---|---|
| 1144529959 | Jonell Hamilton Bolton | Pediatrics | 5000 O'donovan Blvd, Suite 404, Walker, LA 70785-6351 | 2011-03-18 |
| 1174783344 | Laura Lynne Drake | Pediatrics | 9775 Highway 190, Suite F, Walker, LA 70785 | 2008-06-11 |
| 1922298918 | Jennifer Marie Perry | Pediatrics | 4288 3 Mile Rd Nw, Suite 1, Walker, MI 49534-7596 | 2007-07-26 |
| 1639202112 | Tracy Alana Lemelle | Pediatrics | 5000 Odonavan Blvd, Walker, LA 70785-6351 | 2007-03-13 |
| 1700986999 | Belinda Chou | Pediatrics | 4288 Three Mile Road, Walker, MI 49534 | 2006-09-25 |
| 1821385683 | Derrick Holeman | Pediatrics | 4288 3 Mile Rd Nw, Walker, MI 49534-7596 | 2011-06-30 |
| 1982799805 | Jeffrey Hoogstra | Pediatrics | 4288 3 Mile Road, Walker, MI 49534 | 2006-10-04 |
| 1295836096 | Abc Pediatrics, PC | Pediatrics | 4288 Three Mile Road, Walker, MI 49534 | 2006-09-26 |
| 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 |
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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.