Lincoln Street Pediatrics PLLC

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

Legal business name

LINCOLN STREET PEDIATRICS PLLC

Practice address

701 S Lincoln St
Bay City, MI 48708-7412

Phone

(989) 895-9876

Fax

(989) 895-9780

NPI assigned

Nov 23, 2016

Last updated

Nov 23, 2016By 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

Neil Corey Gibson

Title

Office Manager

Phone

(989) 895-9876

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 4

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.

• Paula Ann Chorazy, MD

  • Pediatrics Physician
  • Southfield, MI
  • NPI 1821092305
  NPD
• Christi Marie Bush, PA-C

  • Physician Assistant
  • Bay City, MI
  • NPI 1801167655
  NPD (past)
• Debbie Jane Filek, MD

  • Pediatric Adolescent Medicine Physician
  • Bay City, MI
  • NPI 1174698831
  NPD (past)
• Ronald Lavern Polhill Jr., CPNP, RN

  • Pediatric Nurse Practitioner
  • Bay City, MI
  • NPI 1891204970
  NPD (past)

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

{
    "created_epoch": "1479859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479859200000",
    "number": "1437692472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 S LINCOLN ST",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487087412",
            "telephone_number": "989-895-9876",
            "fax_number": "989-895-9780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 S LINCOLN ST",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487087412",
            "telephone_number": "989-895-9876",
            "fax_number": "989-895-9780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCOLN STREET PEDIATRICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-23",
        "last_updated": "2016-11-23",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "NEIL",
        "authorized_official_middle_name": "COREY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "989-895-9876"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elishia Licavoli, O.T.R.L.
• Sara Licht
• Andrea Lieber, NP
• Life Counseling of Mid Michigan LLC
• Lauren Rose Lijewski
• Nicole Leigh Linda, FNP-C
• Amy Lindner
• Richard A Link, DC
• Sarena Linton
• List Psychological Services, PLC

• Pediatric Adolescent Medicine Physician in Bay City, MI
• Providers in Bay City, MI by specialty
• Pediatric Adolescent Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.