Active NPI
All Star Pediatrics
- Specialist
- Grand Blanc, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 4301086642
- Legal business name
- ALL STAR PEDIATRICS
- Practice address
- 8203 S Saginaw St
Grand Blanc, MI 48439-2434 - Phone
- (810) 584-7511
- NPI assigned
- Sep 28, 2015
- Last updated
- Sep 28, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Shivani Choudhary, MD
- Title
- Owner
- Phone
- (810) 584-7511
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 4301086642 | MI | Primary |
Addresses
Primary practice location
8203 S Saginaw St
Grand Blanc, MI 48439-2434
Mailing address
8203 S Saginaw St
Grand Blanc, MI 48439-2434
Phone (810) 584-7511
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D2105276 | All Star Pediatrics | Certificate of waiver | Nov 22, 2027 |
National Provider Directory
National Provider DirectoryInteroperability endpoints
- https://api.platform.athenahealth.com/12426/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Pediatrics Physician
- Grand Blanc, MI
- NPI 1316130172
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443398400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1443398400000",
"number": "1184094682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8203 S SAGINAW ST",
"city": "GRAND BLANC",
"state": "MI",
"postal_code": "484392434",
"telephone_number": "810-584-7511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8203 S SAGINAW ST",
"city": "GRAND BLANC",
"state": "MI",
"postal_code": "484392434",
"telephone_number": "810-584-7511"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALL STAR PEDIATRICS",
"organizational_subpart": "NO",
"enumeration_date": "2015-09-28",
"last_updated": "2015-09-28",
"status": "A",
"authorized_official_last_name": "CHOUDHARY",
"authorized_official_first_name": "SHIVANI",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "810-584-7511",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "MI",
"license": "4301086642",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Blanc, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2015; 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.