NPIMap

Organization Active NPI

Pediatric Specialists of Bloomfield Hills,P.C

  • Pediatrics Physician
  • Bloomfield Hills, MI
National Provider Identifier
1023197357
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
4301074881 Issued in MI
Legal business name
PEDIATRIC SPECIALISTS OF BLOOMFIELD HILLS,P.C
Practice address
43097 Woodward Ave
Suite 201
Bloomfield Hills, MI 48302-5041
Phone
(248) 454-9000
Fax
(248) 454-9100
NPI assigned
Nov 6, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Kimberlee Coleman, M.D.NPI 1467531350
Title
Partner
Phone
(248) 454-9000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208000000X 4301074881 MI Primary
Pediatrics PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208000000X 4301067190 MI

Addresses

Primary practice location

43097 Woodward Ave
Suite 201
Bloomfield Hills, MI 48302-5041

Mailing address

43097 Woodward Ave
Suite 201
Bloomfield Hills, MI 48302-5041
Phone (248) 454-9000

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D1030205Pediatric Specialists of Bloomfield Hills43097 Woodward Avenue Suite 201, Bloomfield Hills, MI 48302Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

3226 Hidden Timber Dr
Ste A
Lake Orion, MI 48359
Phone (248) 391-1780

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023197357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43097 WOODWARD AVE",
            "address_2": "SUITE 201",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483025041",
            "telephone_number": "248-454-9000",
            "fax_number": "248-454-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43097 WOODWARD AVE",
            "address_2": "SUITE 201",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483025041",
            "telephone_number": "248-454-9000",
            "fax_number": "248-454-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC SPECIALISTS OF BLOOMFIELD HILLS,P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "KIMBERLEE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "248-454-9000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301074881",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301067190",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.