Southfield Pediatrics PLLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

046484 Issued in MI

Legal business name

SOUTHFIELD PEDIATRICS PLLC

Practice address

28500 Southfield Rd Ste 100
Lathrup Village, MI 48076-2722

Phone

(248) 557-0160

Fax

(248) 557-1756

NPI assigned

Jun 26, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Samira Zebari, MDNPI 1467548891

Title

Physician

Phone

(248) 557-0160

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Samira Zebari, M.D.

  • Pediatrics Physician
  • Lathrup Village, MI
  • NPI 1467548891
  NPD (past) Authorized official

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

{
    "created_epoch": "1529971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529971200000",
    "number": "1386139913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28500 SOUTHFIELD RD STE 100",
            "city": "LATHRUP VILLAGE",
            "state": "MI",
            "postal_code": "480762722",
            "telephone_number": "248-557-0160",
            "fax_number": "248-557-1756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28500 SOUTHFIELD RD STE 100",
            "city": "LATHRUP VILLAGE",
            "state": "MI",
            "postal_code": "480762722",
            "telephone_number": "248-557-0160",
            "fax_number": "248-557-1756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHFIELD PEDIATRICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-26",
        "last_updated": "2018-06-26",
        "status": "A",
        "authorized_official_last_name": "ZEBARI",
        "authorized_official_first_name": "SAMIRA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "248-557-0160",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "046484",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1491727",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Soulliere, D.C.
• Southeast Michigan Medical Associates PC
• Southfield Family Medical Center Inc
• Southfield Medical Group PLLC
• Southfield Pain Mangement
• Specialty Medical Group (Physicians Skin Care Center)
• Spectrum Medical Equipment Inc.
• Tonja Maria Stallings, R.D.
• Standard Rehabilitation Inc
• John T. Steele, MD

• Pediatrics Physician in Lathrup Village, MI
• Providers in Lathrup Village, MI by specialty
• Pediatrics Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2018; 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.