Pediatric Associates of Big Rapids, P.C.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MM407328 Issued in MI

Legal business name

PEDIATRIC ASSOCIATES OF BIG RAPIDS, P.C.

Practice address

650 Linden St
Suite 4
Big Rapids, MI 49307-1879

Phone

(231) 796-4470

Fax

(231) 796-1605

NPI assigned

Mar 14, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Michael R Mekaru, M.D.

Title

President

Phone

(231) 796-4470

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

Locations

Practitioners 2

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

• Patricia Diane Morse, FNP-C

  • Family Nurse Practitioner
  • Cadillac, MI
  • NPI 1275922981
  NPD (past)
• Sushila S Rao

  • Pediatrics Physician
  • Big Rapids, MI
  • NPI 1104819085
  NPD (past)

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508999624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 LINDEN ST",
            "address_2": "SUITE 4",
            "city": "BIG RAPIDS",
            "state": "MI",
            "postal_code": "493071879",
            "telephone_number": "231-796-4470",
            "fax_number": "231-796-1605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 LINDEN ST",
            "address_2": "SUITE 4",
            "city": "BIG RAPIDS",
            "state": "MI",
            "postal_code": "493071879",
            "telephone_number": "231-796-4470",
            "fax_number": "231-796-1605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC ASSOCIATES OF BIG RAPIDS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MEKARU",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "231-796-4470",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "MM407328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Smita V Pai
• Anna Lucille Palmquist, LLPC
• Nicholas Pappas, PHD, LPC
• Matthew Parrish
• Dylan Mikel Pavka, AT, ATC
• Rachel Skye Perkins, L.M.S.W.
• Erick K Perroud, DDS
• Peter S. Vandemark, MD, PC
• Peter Zadvinskis MD PC
• Caleb John Peter

• Pediatrics Physician in Big Rapids, MI
• Providers in Big Rapids, MI by specialty
• Pediatrics Physician in Michigan

• 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.
• 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.