Active NPI
Abc Pediatrics, PC
- Pediatrics Physician
- Walker, MI
National Provider Identifier
1295836096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- ABC PEDIATRICS, PC
- Practice address
- 4288 Three Mile Road
Walker, MI 49534 - Phone
- (616) 458-3677
- Fax
- (616) 459-6850
- NPI assigned
- Sep 26, 2006
- 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
- Cindi Timmer-Walker
- Title
- Office Manager
- Phone
- (616) 458-3677
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Primary |
Addresses
Primary practice location
4288 Three Mile Road
Walker, MI 49534
Mailing address
4288 Three Mile Road
Walker, MI 49534
Phone (616) 458-3677
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 |
|---|---|---|---|
| 23D0380278 | Abc Pediatrics, PC | Certificate of waiver | Dec 31, 2026 |
National Provider Directory
National Provider DirectoryLocations
4288 3 Mile Rd NW
Ste 1
Walker, MI 49534
Phone (616) 458-3677
4288 3 Mile Rd NW
Walker, MI 49534
Phone (616) 458-3677
Interoperability endpoints
- sandrastaublin@abcp.allscriptsdirect.net
- jenniferperry@abcp.allscriptsdirect.net
- derrickholeman@abcp.allscriptsdirect.net
- jeffreyhoogstra@abcp.allscriptsdirect.net
- belindachou@abcp.allscriptsdirect.net
Practitioners & affiliated clinicians
Practitioners 9
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": "1159228800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1184544000000",
"number": "1295836096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4288 THREE MILE ROAD",
"city": "WALKER",
"state": "MI",
"postal_code": "49534",
"telephone_number": "616-458-3677",
"fax_number": "616-459-6850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4288 THREE MILE ROAD",
"city": "WALKER",
"state": "MI",
"postal_code": "49534",
"telephone_number": "616-458-3677",
"fax_number": "616-459-6850"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ABC PEDIATRICS, PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-26",
"last_updated": "2007-07-16",
"status": "A",
"authorized_official_last_name": "TIMMER-WALKER",
"authorized_official_first_name": "CINDI",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "616-458-3677"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Walker, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; 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.