Warrendale Pediatrics

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

Legal business name

WARRENDALE PEDIATRICS

Practice address

17600 W Warren Ave
Detroit, MI 48228-3509

Phone

(313) 551-5141

Fax

(248) 684-5510

NPI assigned

May 23, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Yasser Hassane, MDNPI 1063563476

Title

Physician/Office Manager

Phone

(313) 213-7538

Specialties & licenses 2

Addresses

Practitioners 1

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

• Yasser Mohamed Hassane, M.D.

  • Pediatrics Physician
  • Macomb, MI
  • NPI 1063563476
  NPD Authorized official

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

{
    "created_epoch": "1684800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684800000000",
    "number": "1306538889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17600 W WARREN AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482283509",
            "telephone_number": "313-551-5141",
            "fax_number": "248-684-5510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17600 W WARREN AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482283509",
            "telephone_number": "313-551-5141",
            "fax_number": "248-684-5510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARRENDALE PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-23",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A",
        "authorized_official_last_name": "HASSANE",
        "authorized_official_first_name": "YASSER",
        "authorized_official_title_or_position": "PHYSICIAN/OFFICE MANAGER",
        "authorized_official_telephone_number": "313-213-7538",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Justin Warren, LLPC
• Tokaro Warren
• Warrendale Care
• Warrendale Dental Center
• Warrendale Dental Center PC
• Warrendale Pharmacy RX LLC
• Allen Hugh Warrick III, CADC-SST
• Sonali Warrick, M.D.
• Indira A Warrier, MD
• Warriors Pharmacy, Inc. (Warriors Pharmacy)

• Pediatric Adolescent Medicine Physician in Detroit, MI
• Providers in Detroit, MI by specialty
• Pediatric Adolescent Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2023; 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.