Pediatric & Adolescent Advance Care PLLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

PEDIATRIC & ADOLESCENT ADVANCE CARE PLLC

Practice address

1230 S Linden Rd Ste 3a
Flint, MI 48532-3459

Phone

(810) 410-4869

NPI assigned

Apr 18, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Faisal M Mawri, M.D.NPI 1336346345

Title

Owner

Phone

(810) 877-4908

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Faisal M Mawri, M.D

  • Pediatrics Physician
  • Flint, MI
  • NPI 1336346345
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1366243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649808000000",
    "number": "1093159105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8143 S SAGINAW ST",
            "address_2": "SUITE 2",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484391825",
            "telephone_number": "810-584-7689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 S LINDEN RD STE 3A",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323459",
            "telephone_number": "810-410-4869"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10004 E Lipppincott Blvd",
            "address_2": "Suite C",
            "address_purpose": "LOCATION",
            "city": "Davison",
            "state": "MI",
            "postal_code": "484239013",
            "country_code": "US",
            "telephone_number": "810-410-4869",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PEDIATRIC & ADOLESCENT ADVANCE CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-18",
        "last_updated": "2022-04-13",
        "certification_date": "2022-04-13",
        "status": "A",
        "authorized_official_last_name": "MAWRI",
        "authorized_official_first_name": "FAISAL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-877-4908",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Antonyo Deshawn Peat
• Doris Peat
• Adam Peck
• Charles M Peckham, TLLP
• Ravikumar R Peddireddy, MD
• Pediatrics Critiacl Care Associates
• Patti Peek
• Shelby Susan Peel, LMT
• Susan M Peel, ATC
• Shelah Peery, DPT

• Pediatrics Physician in Flint, MI
• Providers in Flint, MI by specialty
• Pediatrics Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.