Pediatric Partners PLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

PEDIATRIC PARTNERS PLC

Practice address

4600 Breton Rd SE
Suite 103
Kentwood, MI 49508-5262

Phone

(616) 656-8600

Fax

(616) 656-8601

NPI assigned

Oct 19, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Hugh Kelley Riley, M.D.NPI 1841289956

Title

President

Phone

(616) 656-8600

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Hugh Kelley Riley, M.D.

  • Pediatrics Physician
  • Kentwood, MI
  • NPI 1841289956
  Authorized official Same address or phone

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

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346239647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 BRETON RD SE",
            "address_2": "SUITE 103",
            "city": "KENTWOOD",
            "state": "MI",
            "postal_code": "495085262",
            "telephone_number": "616-656-8600",
            "fax_number": "616-656-8601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 BRETON RD SE",
            "address_2": "SUITE 103",
            "city": "KENTWOOD",
            "state": "MI",
            "postal_code": "495085262",
            "telephone_number": "616-656-8600",
            "fax_number": "616-656-8601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC PARTNERS PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RILEY",
        "authorized_official_first_name": "HUGH",
        "authorized_official_middle_name": "KELLEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "616-656-8600",
        "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": []
}

• Katherine G Pastoor, MA, LLP
• Pragyan Patro, MD
• Richard Maynard Peacock, RPH
• Pearle Vision Inc (Pearle Vision #C6658)
• Pediatric Associates of Kentwood
• Nora Christine Peirano, PA
• Josh Pelton, BCBA
• Nichole Lynn Penny, R.PH.
• Perry Drug Stores Inc and Subsidiaries (Rite Aid Pharmacy 04395)
• Kassandra Peruski, PHARM.D.

• Pediatrics Physician in Kentwood, MI
• Providers in Kentwood, 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.