Organization Active NPI

Gogue Pediatrics, P.C.

  • Pediatric Adolescent Medicine Physician
  • Sterling Heights, MI
National Provider Identifier
1265921191
Registry record updated Jan 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
Legal business name
GOGUE PEDIATRICS, P.C.
Practice address
39242 Dequindre Rd Ste 101
Sterling Heights, MI 48310-1764
Phone
(586) 446-8060
Fax
(586) 446-8062
NPI assigned
May 7, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2025

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

Authorized official

Name
Paul Gogue, MDNPI 1104172212
Title
Owner
Phone
(586) 446-8060

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
Pediatric Adolescent Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080A0000X Primary

Addresses

Primary practice location

39242 Dequindre Rd Ste 101
Sterling Heights, MI 48310-1764

Mailing address

39242 Dequindre Rd Ste 101
Sterling Heights, MI 48310-1764
Phone (586) 446-8060

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
23D2150560Gogue Pediatrics, P C39242 Dequindre Road Suite 101, Sterling Heights, MI 48310Certificate of waiverJun 26, 2028

National Provider Directory

National Provider Directory

Locations

39242 Dequindre Rd
Ste 101
Sterling Heights, MI 48310
Phone (586) 446-8060

Practitioners & affiliated clinicians

Practitioners 4

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": "1525651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736467200000",
    "number": "1265921191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39242 DEQUINDRE RD STE 101",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483101764",
            "telephone_number": "586-446-8060",
            "fax_number": "586-446-8062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39242 DEQUINDRE RD STE 101",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483101764",
            "telephone_number": "586-446-8060",
            "fax_number": "586-446-8062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOGUE PEDIATRICS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-07",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A",
        "authorized_official_last_name": "GOGUE",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-446-8060",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2025; 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.