Westland Pediatric Associates PLLC

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

Legal business name

WESTLAND PEDIATRIC ASSOCIATES PLLC

Doing business as

westland pediatric Associates pllc

Practice address

37660 Ford Rd
Westland, MI 48185-1924

Phone

(734) 326-6333

Fax

(734) 326-7105

NPI assigned

Aug 14, 2019

Last updated

Nov 18, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Bridget Chinyere AgomuohNPI 1245278977

Title

Manager

Phone

(734) 326-6333

Specialties & licenses 1

Addresses

Other names 1

• westland pediatric Associates pllc Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 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

Locations

Practitioners 3

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.

• Bridget Chinyere Agomuoh, MD

  • Pediatrics Physician
  • Westland, MI
  • NPI 1245278977
  Medicare reassignment NPD Authorized official
• Vinay Kumar Duggal, MD

  • Pediatrics Physician
  • Westland, MI
  • NPI 1699878751
  NPD (past)
• Rachel George, MD

  • Pediatric Adolescent Medicine Physician
  • Westland, MI
  • NPI 1154408433
  NPD (past)

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

{
    "created_epoch": "1565740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637193600000",
    "number": "1609422716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37660 FORD RD",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481851924",
            "telephone_number": "734-326-6333",
            "fax_number": "734-326-7105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37660 FORD RD",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481851924",
            "telephone_number": "734-326-6333",
            "fax_number": "734-326-7105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTLAND PEDIATRIC ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-14",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A",
        "authorized_official_last_name": "AGOMUOH",
        "authorized_official_first_name": "BRIDGET",
        "authorized_official_middle_name": "CHINYERE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "734-326-6333",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "westland pediatric Associates pllc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "westland pediatric Associates pllc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Westland Nursing and Rehabilitation Centre, LLC
• Westland Pharmacy Inc
• Westland Primary Care PLLC
• Westland Quality Healthcare PC
• Westland Urgent Care Walk-in-Clinic
• Westland- Wayne P.C.

• Pediatric Adolescent Medicine Physician in Westland, MI
• Providers in Westland, 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 Nov 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.