SG Pediatric

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

SG PEDIATRIC

Practice address

26850 Providence Pkwy
Suite 320
Novi, MI 48374-1213

Phone

(248) 662-4091

NPI assigned

Nov 6, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Srilakshmi Pinnamaraju, M.DNPI 1639132541

Title

Authorized Officail

Phone

(248) 662-4091

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

Practitioners 1

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

• Srilakshmi Pinnamaraju, MD

  • Pediatrics Physician
  • Novi, MI
  • NPI 1639132541
  NPD (past) Authorized official

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388361600000",
    "number": "1700955739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26850 PROVIDENCE PKWY",
            "address_2": "SUITE 320",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483741213",
            "telephone_number": "248-662-4091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26850 PROVIDENCE PKWY",
            "address_2": "SUITE 320",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483741213",
            "telephone_number": "248-662-4091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SG PEDIATRIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2013-12-30",
        "status": "A",
        "authorized_official_last_name": "PINNAMARAJU",
        "authorized_official_first_name": "SRILAKSHMI",
        "authorized_official_title_or_position": "AUTHORIZED OFFICAIL",
        "authorized_official_telephone_number": "248-662-4091",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4721230",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4534292",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4566240",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4721221",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Sesko
• Michael Setaro
• Lori Jolynn Severance
• Samantha Briana Severance
• Sexual Health and Counseling Services LLC
• Shereen Shaaban
• Sean Thomas Shadaia
• Amber Shadd-Patterson
• Riley Shaeffer
• Kelsey Shafer, DPT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.