Pediatric Nephrology Associates of Michigan PLC

Primary specialty

Pediatric Nephrology PhysicianTaxonomy code 2080P0210X

Legal business name

PEDIATRIC NEPHROLOGY ASSOCIATES OF MICHIGAN PLC

Practice address

5333 McAuley Drive
Suite 4003
Ypsilanti, MI 48197-1099

Phone

(734) 712-3888

NPI assigned

Mar 16, 2009

Organization subpart

No

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

Authorized official

Name

Olga Blaney

Title

Pratice Manager

Phone

(734) 712-3471

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1237161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238457600000",
    "number": "1730320177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5333 MCAULEY DRIVE",
            "address_2": "SUITE 4003",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481971099",
            "telephone_number": "734-712-3888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5333 MCAULEY DRIVE",
            "address_2": "SUITE 4003",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481971099",
            "telephone_number": "734-712-3888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC NEPHROLOGY ASSOCIATES OF MICHIGAN PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-16",
        "last_updated": "2009-03-31",
        "status": "A",
        "authorized_official_last_name": "BLANEY",
        "authorized_official_first_name": "OLGA",
        "authorized_official_title_or_position": "PRATICE MANAGER",
        "authorized_official_telephone_number": "734-712-3471"
    },
    "taxonomies": [
        {
            "code": "2080P0210X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsay Payton, PA
• Lauren Whitney Peace
• Kevin Tyler Peake, RN
• Kenneth Michael Pearson, DC
• Manasa Peddineni, DO
• Isabella Peet
• Tamara Pelish, M.D.
• Vanessa Peltoniemi
• Jill Penna
• Pennelophys Home Care, LLC

• Pediatric Nephrology Physician in Ypsilanti, MI
• Providers in Ypsilanti, MI by specialty
• Pediatric Nephrology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2009; 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.