Premier Pediatrics

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

PREMIER PEDIATRICS

Practice address

22318 Ford Rd
Dearborn Heights, MI 48127-2421

Phone

(313) 278-2788

Fax

(313) 278-8215

NPI assigned

May 17, 2016

Organization subpart

Yes

Parent organization

MAZEN N HAMAMEH DO PCAs reported in NPPES

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

Authorized official

Name

Dr. Mazen Hamameh, DO

Title

Physician

Phone

(313) 278-2788

Specialties & licenses 1

Addresses

Tax ID family

Premier Pediatrics2 organizations share this tax ID, including this one

Part of

Premier Pediatrics

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Mazen Hamameh DO PC

  • Pediatric Adolescent Medicine Physician
  • Dearborn Heights, MI
  • NPI 1275825770
  NPD tax ID

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

{
    "created_epoch": "1463443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463443200000",
    "number": "1174970396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22318 FORD RD",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481272421",
            "telephone_number": "313-278-2788",
            "fax_number": "313-278-8215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22318 FORD RD",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481272421",
            "telephone_number": "313-278-2788",
            "fax_number": "313-278-8215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER PEDIATRICS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MAZEN N HAMAMEH DO PC",
        "enumeration_date": "2016-05-17",
        "last_updated": "2016-05-17",
        "status": "A",
        "authorized_official_last_name": "HAMAMEH",
        "authorized_official_first_name": "MAZEN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "313-278-2788",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Ilda Prahler Eisel, LLMSW, CRC
• Precious Angels Home Care LLC
• Precious in Gods Eyes Harris Room and Board Outreach Ministry Church
• Premier Dental Care
• Premier Durable Medical Equipment LLC
• Premier Pediatrics
• Premier Services of Michigan, LLC
• Premier Services of Michigan, LLC
• Premier Services of Michigan, LLC
• Primary Care Center PLLC

• Pediatrics Physician in Dearborn Heights, MI
• Providers in Dearborn Heights, MI by specialty
• Pediatrics Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2016; 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.