Pediatric and Adolescent Care Associates, PC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

4301077847 Issued in MI

Legal business name

PEDIATRIC AND ADOLESCENT CARE ASSOCIATES, PC

Practice address

43184 Dequindre Rd
Suite 208
Sterling Heights, MI 48314-1709

Phone

(586) 731-1500

Fax

(586) 731-1363

NPI assigned

Jun 12, 2013

Last updated

Jan 12, 2017By 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. Shobana Sundaram, M.D.NPI 1932138583

Title

Owner

Phone

(586) 731-1500

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 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.

• Shobana Sundaram, M.D.

  • Pediatrics Physician
  • Sterling Heights, MI
  • NPI 1932138583
  NPD (past) Authorized official
• Keerteshwrya Likes, MD

  • Pediatrics Physician
  • Detroit, MI
  • NPI 1972182186
  NPD (past)
• Mary Targosz, CNP

  • Pediatric Nurse Practitioner
  • Waterford, MI
  • NPI 1194845925
  NPD (past)

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

{
    "created_epoch": "1370995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484179200000",
    "number": "1689012601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43184 DEQUINDRE RD",
            "address_2": "SUITE 208",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483141709",
            "telephone_number": "586-731-1500",
            "fax_number": "586-731-1363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43184 DEQUINDRE RD",
            "address_2": "SUITE 208",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483141709",
            "telephone_number": "586-731-1500",
            "fax_number": "586-731-1363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC AND ADOLESCENT CARE ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-12",
        "last_updated": "2017-01-12",
        "status": "A",
        "authorized_official_last_name": "SUNDARAM",
        "authorized_official_first_name": "SHOBANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-731-1500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301077847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Patrick Pearson, D.D.S.
• Yvonne Marie Pearson, DDS
• Irina Mikhaylovna Pechenko, MD
• Alexandrea Pedersen
• Pediatric & Adolescent Care, P.C.
• Pediatric Healthcare
• Pediatrics Plus PLC
• Pegasus Diagnostics Inc
• Sara Ann Pelfrey
• Aveena Kaur Pelia, DO

• Pediatrics Physician in Sterling Heights, MI
• Providers in Sterling Heights, MI by specialty
• Pediatrics Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2017; 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.