Organization Active NPI

Children'S Health Care, PLLC

  • Pediatrics Physician
  • Mt Pleasant, MI
National Provider Identifier
1215058342
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
4301068018 Issued in MI
Legal business name
CHILDREN'S HEALTH CARE, PLLC
Practice address
709 S Adams St
Mt Pleasant, MI 48858-2207
Phone
(989) 772-7774
Fax
(989) 772-7220
NPI assigned
Apr 3, 2007
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
Mrs. Rumana Anis Barodawalla, M.D.NPI 1144342320
Title
Medical Director
Phone
(989) 772-7774

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 4301068018 MI Primary

Addresses

Primary practice location

709 S Adams St
Mt Pleasant, MI 48858-2207

Mailing address

709 S Adams St
Mt Pleasant, MI 48858-2207
Phone (989) 772-7774

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
23D1027736Children'S Health Care PLLC709 S Adams, Mount Pleasant, MI 48858Certificate of waiverJul 7, 2028

National Provider Directory

National Provider Directory

Locations

709 S Adams St
Mt Pleasant, MI 48858
Phone (989) 772-7774

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215058342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 S ADAMS ST",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488582207",
            "telephone_number": "989-772-7774",
            "fax_number": "989-772-7220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 S ADAMS ST",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488582207",
            "telephone_number": "989-772-7774",
            "fax_number": "989-772-7220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S HEALTH CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BARODAWALLA",
        "authorized_official_first_name": "RUMANA",
        "authorized_official_middle_name": "ANIS",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "989-772-7774",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301068018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Pleasant, 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.