Pediatric Clinic Associates

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

PEDIATRIC CLINIC ASSOCIATES

Practice address

9365 N Haggerty Rd
Plymouth, MI 48170-4622

Phone

(734) 459-9260

Fax

(734) 459-0612

NPI assigned

May 27, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Mary Alonzi, DO

Title

Doctor

Phone

(734) 459-9260

Specialties & licenses 2

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1211846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351814400000",
    "number": "1558529628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9365 N HAGGERTY RD",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481704622",
            "telephone_number": "734-459-9260",
            "fax_number": "734-459-0612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9365 N HAGGERTY RD",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481704622",
            "telephone_number": "734-459-9260",
            "fax_number": "734-459-0612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC CLINIC ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-27",
        "last_updated": "2012-11-02",
        "status": "A",
        "authorized_official_last_name": "ALONZI",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "734-459-9260",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "3558200335",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1345362",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "3558200335",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charmaine Peake
• Christian Pearson
• Audrey Lynn Peck
• Ellen Peck
• Hannah Peckens, LMSW
• Pediatric Dentistry, P.C.
• Helen Peiler
• Nicholas John Pelachyk, D.D.S.
• Joseph Pelava, RN
• Macy Pellegrini

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2012; 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.