Best Kids PC
Organization Active NPI Pediatrics Physician · Port Huron, MI
NPI 1669701124 · NPPES record last updated Feb 18, 2011
Key facts
- NPI
- 1669701124
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 5101017094 (MI)
- Legal business name
- BEST KIDS PC
- Practice address
- 1107 Stone St
Suite 5
Port Huron, MI 48060-3569 - Phone
- (810) 985-9300
- Fax
- (810) 985-9393
- NPI assigned
- Dec 12, 2009
- Organization subpart
- No
Authorized official
- Name
- Dr. Sarah Jo Pasia, D.O.
- Title
- Owner
- Phone
- (810) 300-2807
Practitioners 2
-
Barbara Ann Sawher, CPNP-PC
-
Randi J Votava, FNP-BC
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D2000201 | Best Kids PC | Certificate of waiver | Nov 22, 2027 |
National Provider Directory
Locations
1107 Stone St
Ste 5
Port Huron, MI 48060
Phone (810) 985-9300
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician |
208000000X | 5101017094 | MI | Yes |
Addresses
Primary practice location
1107 Stone St
Suite 5
Port Huron, MI 48060-3569
Mailing address
1107 Stone St
Suite 5
Port Huron, MI 48060-3569
Phone (810) 985-9300
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4977498 | Medicaid | MI |
Other names
- Best Kids
NPI Registry JSON
{
"created_epoch": "1260576000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1297987200000",
"number": "1669701124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1107 STONE ST",
"address_2": "SUITE 5",
"city": "PORT HURON",
"state": "MI",
"postal_code": "480603569",
"telephone_number": "810-985-9300",
"fax_number": "810-985-9393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1107 STONE ST",
"address_2": "SUITE 5",
"city": "PORT HURON",
"state": "MI",
"postal_code": "480603569",
"telephone_number": "810-985-9300",
"fax_number": "810-985-9393"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEST KIDS PC",
"organizational_subpart": "NO",
"enumeration_date": "2009-12-12",
"last_updated": "2011-02-18",
"status": "A",
"authorized_official_last_name": "PASIA",
"authorized_official_first_name": "SARAH",
"authorized_official_middle_name": "JO",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "810-300-2807",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "MI",
"license": "5101017094",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4977498",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Best Kids",
"code": "3",
"type": "Doing Business As"
}
]
}
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All providers in Port Huron, MI · Pediatrics Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 18, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.