Icare Pediatrics

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

ICARE PEDIATRICS

Practice address

2390 Woodlake Dr Ste 380a
Okemos, MI 48864-6017

Phone

(517) 775-8240

NPI assigned

Jul 8, 2022

Organization subpart

No

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

Authorized official

Name

Fareeha Naz, MDNPI 1205055464

Title

Owner

Phone

(517) 775-8240

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

Locations

Practitioners 2

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

• Fareeha Naz, MD

  • Pediatrics Physician
  • East Lansing, MI
  • NPI 1205055464
  NPD (past) Authorized official
• Amanda L Wilson, PEDIATRIC NP

  • Pediatric Nurse Practitioner
  • Coldwater, MI
  • NPI 1861002883
  NPD (past)

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

{
    "created_epoch": "1657238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657238400000",
    "number": "1700519444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3598 CABARET TRL",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488644082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2390 WOODLAKE DR STE 380A",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488646017",
            "telephone_number": "517-775-8240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICARE PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-08",
        "last_updated": "2022-07-08",
        "certification_date": "2022-07-08",
        "status": "A",
        "authorized_official_last_name": "NAZ",
        "authorized_official_first_name": "FAREEHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-775-8240",
        "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": []
}

• Shuja Hussain
• Nawal Hussein
• Larisa K Hutchins, PSY.D.
• Alexis Marie Hutchinson, CHW
• Jaimie Joan Hutchison, LPC
• Ihealth Chiropractic Group, LLC
• In Home Safety Services LLC
• Ingham County Medical Care Facility
• Ingham County Medical Care Facility
• Jesslyn Ingram, LMFT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2022; 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.