NPIMap

Organization Active NPI

Pedi Care Pediatric Clinic PC

  • Pediatrics Physician
  • Westland, MI
National Provider Identifier
1457443962
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
5101006757 Issued in MI
Legal business name
PEDI CARE PEDIATRIC CLINIC PC
Practice address
35240 Nankin Blvd
Blvd 401
Westland, MI 48185-7218
Phone
(734) 427-3636
Fax
(734) 427-1483
NPI assigned
Sep 29, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Verna Jean Turkish, DONPI 1356433841
Title
Owner
Phone
(734) 427-3636

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 5101006757 MI Primary

Addresses

Primary practice location

35240 Nankin Blvd
Blvd 401
Westland, MI 48185-7218

Mailing address

35240 Nankin Blvd
Blvd 401
Westland, MI 48185-7218
Phone (734) 427-3636

National Provider Directory

National Provider Directory
Tax ID family
Pedi Care Pediatric Clinic PC2 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.

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457443962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35240 NANKIN BLVD",
            "address_2": "BLVD 401",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481857218",
            "telephone_number": "734-427-3636",
            "fax_number": "734-427-1483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35240 NANKIN BLVD",
            "address_2": "BLVD 401",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481857218",
            "telephone_number": "734-427-3636",
            "fax_number": "734-427-1483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDI CARE PEDIATRIC CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TURKISH",
        "authorized_official_first_name": "VERNA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-427-3636",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "5101006757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.