Organization Active NPI

Northside Pediatrics PC

  • Pediatrics Physician
  • Battle Creek, MI
National Provider Identifier
1356300073
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
NORTHSIDE PEDIATRICS PC
Practice address
265 Fremont St
Suite 1
Battle Creek, MI 49017-3354
Phone
(269) 962-6223
Fax
(269) 962-9309
NPI assigned
Mar 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. April Diane Ansell
Title
Billing Manager
Phone
(269) 962-6221

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X MI Primary

Addresses

Primary practice location

265 Fremont St
Suite 1
Battle Creek, MI 49017-3354

Mailing address

265 Fremont St
Suite 1
Battle Creek, MI 49017-3354
Phone (269) 962-6223

National Provider Directory

National Provider Directory

Locations

265 Fremont St
Ste 1
Battle Creek, MI 49017
Phone (269) 962-6221

Practitioners & affiliated clinicians

Practitioners 2

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": "1142899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1356300073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 FREMONT ST",
            "address_2": "SUITE 1",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490173354",
            "telephone_number": "269-962-6223",
            "fax_number": "269-962-9309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 FREMONT ST",
            "address_2": "SUITE 1",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490173354",
            "telephone_number": "269-962-6223",
            "fax_number": "269-962-9309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSIDE PEDIATRICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-21",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ANSELL",
        "authorized_official_first_name": "APRIL",
        "authorized_official_middle_name": "DIANE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "269-962-6221",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Battle Creek, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.