Organization Active NPI

Rochester Pediatrics, P.C.

  • Pediatric Adolescent Medicine Physician
  • Rochester Hills, MI
National Provider Identifier
1376774778
Registry record updated Aug 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
Legal business name
ROCHESTER PEDIATRICS, P.C.
Practice address
110 South Blvd W
Ste 101
Rochester Hills, MI 48307-5184
Phone
(248) 608-5858
Fax
(248) 853-7717
NPI assigned
Aug 3, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2009

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

Authorized official

Name
Dr. Marie A McDonald, M.D.
Title
Physician
Phone
(248) 608-5858

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080A0000X Primary

Addresses

Primary practice location

110 South Blvd W
Ste 101
Rochester Hills, MI 48307-5184

Mailing address

110 South Blvd W
Ste 101
Rochester Hills, MI 48307-5184
Phone (248) 608-5858

National Provider Directory

National Provider Directory

Locations

110 South Blvd W
Ste 101
Rochester Hills, MI 48307
Phone (248) 608-5858

NPI Registry JSON

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

{
    "created_epoch": "1249257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249257600000",
    "number": "1376774778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 SOUTH BLVD W",
            "address_2": "STE 101",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483075184",
            "telephone_number": "248-608-5858",
            "fax_number": "248-853-7717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 SOUTH BLVD W",
            "address_2": "STE 101",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483075184",
            "telephone_number": "248-608-5858",
            "fax_number": "248-853-7717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCHESTER PEDIATRICS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-03",
        "last_updated": "2009-08-03",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "MARIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "248-608-5858",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2009; 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.