Macomb Pediatric Associatea P.C

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

MACOMB PEDIATRIC ASSOCIATEA P.C

Practice address

29703 Hoover Rd
Warren, MI 48093-8901

Phone

(586) 573-9090

Fax

(586) 573-2128

NPI assigned

Apr 10, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Antoun Oska, M.D.NPI 1518912013

Title

President

Phone

(586) 573-9090

Specialties & licenses 1

Addresses

Locations

Practitioners 4

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

• Antoun Oska, M.D.

  • Pediatric Adolescent Medicine Physician
  • Warren, MI
  • NPI 1518912013

  Pediatrics

  NPD (past) Authorized official
• Ashraf H Berry, M.D.

  • Pediatric Adolescent Medicine Physician
  • Warren, MI
  • NPI 1225083967

  Pediatrics

  NPD (past)
• Courtney Elyse Fezzey

  • Critical Care Pediatric Nurse Practitioner
  • Detroit, MI
  • NPI 1073935383
  NPD (past)
• Linda Rose Lackowski, MSN, FNP-C

  • Family Nurse Practitioner
  • Warren, MI
  • NPI 1154806354
  NPD (past)

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386115200000",
    "number": "1245453125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29703 HOOVER",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480938091",
            "telephone_number": "586-573-9090",
            "fax_number": "586-573-2128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29703 HOOVER RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480938901",
            "telephone_number": "586-573-9090",
            "fax_number": "586-573-2128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACOMB PEDIATRIC ASSOCIATEA P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2013-12-04",
        "status": "A",
        "authorized_official_last_name": "OSKA",
        "authorized_official_first_name": "ANTOUN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-573-9090",
        "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": []
}

• Macomb Hearing Aid Center L.L.C.
• Macomb Hematology Oncology
• Macomb Internal Med Ctr PC
• Macomb Medical and Wellness Center PLLC (Macomb Medical and Wellness C)
• Macomb Neurology Associates PC
• Macomb Surgical Specialists,PLC
• Macomb-Oakland Home Care, Inc.
• Sreejesh Chiravath Madhavan
• Madhusudan Inc (Highland Park Pharmacy)
• Madison Associates PC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2013; 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.