Paint Creek Pediatrics and Adolescent Care PC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

4301048948 Issued in MI

Legal business name

PAINT CREEK PEDIATRICS AND ADOLESCENT CARE PC

Practice address

1000 W University Dr Ste 207
Rochester Hills, MI 48307-1875

Phone

(248) 656-3440

Fax

(248) 656-8504

NPI assigned

Jul 15, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Herminia P Bierema, MD

Title

Owner Provider

Phone

(248) 656-3440

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1174549752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 W UNIVERSITY DR STE 207",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483071875",
            "telephone_number": "248-656-3440",
            "fax_number": "248-656-8504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W UNIVERSITY DR STE 207",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483071875",
            "telephone_number": "248-656-3440",
            "fax_number": "248-656-8504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAINT CREEK PEDIATRICS AND ADOLESCENT CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BIEREMA",
        "authorized_official_first_name": "HERMINIA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER PROVIDER",
        "authorized_official_telephone_number": "248-656-3440",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301048948",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0F31453",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paige Vannorman Psychological Services PLLC
• Pain Clinic of Michigan Associates PC
• Pain Clinic of Rochester
• Paint Creek Counseling, PLLC
• Paint Creek Obstetrics & Gynecology PC
• Marie E Palazzolo-Meyer, D.C.
• Jill Palazzolo, R.P.H.
• Nadine Palazzolo, CCC-SLP
• Lawrence Mark Palmer, D.D.S.
• Rebecca Karen Palmer, BA

• Pediatrics Physician in Rochester Hills, MI
• Providers in Rochester Hills, MI by specialty
• Pediatrics Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.