Genesee Pediatrics PC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

4301067983 Issued in MI

Legal business name

GENESEE PEDIATRICS PC

Practice address

G5119 W Bristol Road
Suite a
Flint, MI 48507

Phone

(810) 720-1510

Fax

(810) 720-1726

NPI assigned

Apr 28, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Manar Hammoud, M.D.NPI 1730130279

Title

Physician

Phone

(810) 720-1510

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Genesee Pediatrics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Genesee Pediatrics

  dba Manar Hammoud, M.D., P.C.

  • Pediatrics Physician
  • Flint, MI
  • NPI 1821130980
  NPD tax ID

Locations

Practitioners 1

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

• Manar Abed Hammoud, MD

  • Pediatrics Physician
  • Flint, MI
  • NPI 1730130279
  NPD (past) Authorized official

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590537600000",
    "number": "1447217732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "G5119 W BRISTOL ROAD",
            "address_2": "SUITE A",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "48507",
            "telephone_number": "810-720-1510",
            "fax_number": "810-720-1726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "G5119 W BRISTOL ROAD",
            "address_2": "SUITE A",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "48507",
            "telephone_number": "810-720-1510",
            "fax_number": "810-720-1726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESEE PEDIATRICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-28",
        "last_updated": "2020-05-27",
        "certification_date": "2020-05-27",
        "status": "A",
        "authorized_official_last_name": "HAMMOUD",
        "authorized_official_first_name": "MANAR",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "810-720-1510",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301067983",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4215497",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Genesee Medical Anesthesia, PC
• Genesee Mobile Physicians
• Genesee OB-GYN & Cosmetic Surgery PLLC
• Genesee Pain Associates PC
• Genesee Pediatrics (Manar Hammoud, M.D., P.C.)
• Genesee Psychological Resources, P.C.
• Genesee Urgent Care, P.C.
• Geneseetrade LLC (genesee express pharmacy)
• Genesis Health Specialist, PC
• Genesis Homehealth Services LLC

• Pediatrics Physician in Flint, MI
• Providers in Flint, MI by specialty
• Pediatrics Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2020; 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.