Petoskey Child Health Associates, PC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

PETOSKEY CHILD HEALTH ASSOCIATES, PC

Practice address

2390 Mitchell Park Dr
Suite a
Petoskey, MI 49770-8965

Phone

(231) 487-2250

Fax

(231) 348-7972

NPI assigned

Oct 4, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Glenn Robert Seagren, M.D.

Title

President

Phone

(231) 487-2250

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336234491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2390 MITCHELL PARK DR",
            "address_2": "SUITE A",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497708965",
            "telephone_number": "231-487-2250",
            "fax_number": "231-348-7972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2390 MITCHELL PARK DR",
            "address_2": "SUITE A",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497708965",
            "telephone_number": "231-487-2250",
            "fax_number": "231-348-7972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETOSKEY CHILD HEALTH ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SEAGREN",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "231-487-2250",
        "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": []
}

• Erica Christine Pennell, LLMSW
• Peter S Armstrong MD PLLC
• Jason Peterman, PAC
• Hunter Stephen Peters, MS, BCBA, LBA
• Christie Lynn Petersen, BS, HIS
• Petoskey Ear Nose & Throat Specialists PLLC
• Petoskey Ear, Nose & Throat Specialists PLLC
• Petoskey Eye Care PC
• Petoskey Family Medicine P.C.
• Petoskey Family Medicine P.C.

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

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.