The Pediatric Place PC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

THE PEDIATRIC PLACE PC

Practice address

3020 S Genesee Rd
Burton, MI 48519-1420

Phone

(810) 744-3321

Fax

(810) 744-2850

NPI assigned

Nov 18, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Sweety A Srivastava, MDNPI 1588876445

Title

Physician

Phone

(810) 874-2060

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

Practitioners 1

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

• Sweety Ajay Srivastava, MD

  • Pediatrics Physician
  • Burton, MI
  • NPI 1588876445
  NPD Authorized official

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

{
    "created_epoch": "1605657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635724800000",
    "number": "1609479138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 S GENESEE RD",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "485191420",
            "telephone_number": "810-744-3321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 S GENESEE RD",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "485191420",
            "telephone_number": "810-744-3321",
            "fax_number": "810-744-2850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PEDIATRIC PLACE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-18",
        "last_updated": "2021-11-01",
        "certification_date": "2021-11-01",
        "status": "A",
        "authorized_official_last_name": "SRIVASTAVA",
        "authorized_official_first_name": "SWEETY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "810-874-2060",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffery Mark Taylor II
• Shariya Taylor
• Tender Dental Care
• Tender Dental Care PC
• Rose Anna-Theresa Tester
• Lorelei Thoman
• Brianna Kadaysha Thomas-Hayes
• Charlette Loring Thomas
• Christopher Thomas
• Heather Renee Thomas, MA, LLPC

• Pediatrics Physician in Burton, MI
• Providers in Burton, 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 1, 2021; 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.