Organization Active NPI

Garfield Pediatrics Associates, P.C.

  • Pediatric Adolescent Medicine Physician
  • Clinton TWP, MI
National Provider Identifier
1750578845
Registry record updated Oct 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
4301032638 Issued in MI
Legal business name
GARFIELD PEDIATRICS ASSOCIATES, P.C.
Doing business as
Garfield Pediatrics
Practice address
39400 Garfield Rd
Suite 201
Clinton TWP, MI 48038-4096
Phone
(586) 263-0040
Fax
(586) 228-2221
NPI assigned
Oct 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2007

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

Authorized official

Name
Dr. Sudershan Kumar Grover, M.D.NPI 1235177965
Title
President
Phone
(586) 263-0040

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080A0000X 4301032638 MI Primary

Addresses

Primary practice location

39400 Garfield Rd
Suite 201
Clinton TWP, MI 48038-4096

Mailing address

39400 Garfield Rd
Suite 201
Clinton TWP, MI 48038-4096
Phone (586) 263-0040

Other names 1

  • Garfield Pediatrics Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D0363882Garfield Pediatrics39400 Garfield Suite 201, Clinton TWP, MI 48038Certificate of waiverNov 16, 2027

National Provider Directory

National Provider Directory

Locations

39400 Garfield Rd
Ste 201
Clinton Twp, MI 48038
Phone (586) 263-0040

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1191283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191283200000",
    "number": "1750578845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39400 GARFIELD RD",
            "address_2": "SUITE 201",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480384096",
            "telephone_number": "586-263-0040",
            "fax_number": "586-228-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39400 GARFIELD RD",
            "address_2": "SUITE 201",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480384096",
            "telephone_number": "586-263-0040",
            "fax_number": "586-228-2221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARFIELD PEDIATRICS ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-02",
        "last_updated": "2007-10-02",
        "status": "A",
        "authorized_official_last_name": "GROVER",
        "authorized_official_first_name": "SUDERSHAN",
        "authorized_official_middle_name": "KUMAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-263-0040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "MI",
            "license": "4301032638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Garfield Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clinton TWP, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2007; 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.