Pediatric Care Corner PC

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

CR010295 Issued in MI

Legal business name

PEDIATRIC CARE CORNER PC

Practice address

2300 Haggerty Rd
Suite 2110
W Bloomfield, MI 48323-2184

Phone

(248) 926-1411

Fax

(248) 926-5338

NPI assigned

Jul 12, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Constance Rowley, DO

Title

Owner/Physician

Phone

(248) 926-1411

Specialties & licenses 1

Addresses

Other identifiers 1

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 5

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

• Roberta Ann Bobal-Savage, M.D.

  • Pediatric Adolescent Medicine Physician
  • Highland, MI
  • NPI 1659370674
  NPD (past)
• Helen S Economy, MD

  • Pediatrics Physician
  • Detroit, MI
  • NPI 1760595425
  NPD (past)
• Matthew Joseph Hornik, D.O.

  • Pediatrics Physician
  • West Bloomfield, MI
  • NPI 1407083041
  NPD (past)
• Michelle Ober, MD

  • Pediatrics Physician
  • Commerce Township, MI
  • NPI 1104034917
  NPD (past)
• Leontine Wallace, RN, BSN

  • Lactation Consultant (Registered Nurse)
  • West Bloomfield, MI
  • NPI 1053800649
  NPD (past)

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192492800000",
    "number": "1508864687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 33321",
            "address_2": "DRAWER 95",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482325321",
            "telephone_number": "248-926-1411",
            "fax_number": "248-926-5338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 HAGGERTY RD",
            "address_2": "SUITE 2110",
            "city": "W BLOOMFIELD",
            "state": "MI",
            "postal_code": "483232184",
            "telephone_number": "248-926-1411",
            "fax_number": "248-926-5338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC CARE CORNER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-12",
        "last_updated": "2007-10-16",
        "status": "A",
        "authorized_official_last_name": "ROWLEY",
        "authorized_official_first_name": "CONSTANCE",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "248-926-1411",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "MI",
            "license": "CR010295",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBC BCN",
            "identifier": "350F375630",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• New Midwest Supplies LLC
• Nikki O'Donnell, LLP
• Brad Richard Oppat, PT
• P-Cor, LLC (Henry Ford Optimeyes)
• Kathleen Payson, NP
• Lisa Perry, RDN
• Pamela Jo Phillips, MD
• Peri Quick, LCSW
• Josephine Rankin
• Regents of the University of Michigan

• Pediatric Adolescent Medicine Physician in W Bloomfield, MI
• Providers in W Bloomfield, 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 Oct 16, 2007; 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.