Petoskey Pediatrics, PC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

PETOSKEY PEDIATRICS, PC

Practice address

345 N Division Rd
Petoskey, MI 49770-9416

Phone

(231) 347-8382

Fax

(231) 347-6628

NPI assigned

Jan 4, 2021

Organization subpart

No

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

Authorized official

Name

Mary J Handwerk

Title

Insurance Biller

Phone

(231) 347-8382

Specialties & licenses 1

Addresses

Practitioners 4

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

• Jill Susanne Decker, M.D.

  • Pediatric Adolescent Medicine Physician
  • Petoskey, MI
  • NPI 1922106301

  Pediatrics

  NPD (past)
• Barbara Clare Jaquith, MSN, RN, PNP. FNP

  • Pediatric Nurse Practitioner
  • Petoskey, MI
  • NPI 1326035999
  NPD (past)
• Dennis Edward McGeath, M.D.

  • Pediatric Adolescent Medicine Physician
  • Petoskey, MI
  • NPI 1295826006

  Pediatrics

  NPD (past)
• Laura Ashley Most, M.D.

  • Pediatrics Physician
  • Grand Rapids, MI
  • NPI 1437446481

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1609718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609718400000",
    "number": "1417545773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 N DIVISION RD",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497709416",
            "telephone_number": "231-347-8382",
            "fax_number": "231-347-6628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 N DIVISION RD",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497709416",
            "telephone_number": "231-347-8382",
            "fax_number": "231-347-6628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETOSKEY PEDIATRICS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-04",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A",
        "authorized_official_last_name": "HANDWERK",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "INSURANCE BILLER",
        "authorized_official_telephone_number": "231-347-8382"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Petoskey Family Medicine P.C.
• Petoskey Family Medicine, P.C.
• Petoskey Geriatric Village, Inc
• Petoskey Hearing Aid Center
• Petoskey Opco, LLC
• Petoskey Professional Counselors, LLC
• Petoskey Psychological Health and Wellness, PLLC
• Petoskey Radiation Oncology, PLC
• Petoskey Spine Rehab
• Petoskey Surgeons, P.C.

• All providers in Petoskey, MI
• Pediatrics Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2021; 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.