NPIMap

Organization Active NPI

Genesee Pediatrics

Doing business as Manar Hammoud, M.D., P.C.

  • Pediatrics Physician
  • Flint, MI
National Provider Identifier
1821130980
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
4301067983 Issued in MI
Legal business name
GENESEE PEDIATRICS
Doing business as
Manar Hammoud, M.D., P.C.
Practice address
5067 W Bristol Rd
Suite J
Flint, MI 48507-2924
Phone
(810) 720-1510
Fax
(810) 720-1726
NPI assigned
Feb 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Manar Hammoud, M.D.NPI 1730130279
Title
Physician
Phone
(810) 720-1510

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
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 4301067983 MI Primary

Addresses

Primary practice location

5067 W Bristol Rd
Suite J
Flint, MI 48507-2924

Mailing address

5067 W Bristol Rd
Suite J
Flint, MI 48507-2924
Phone (810) 720-1510

Other identifiers 2

IdentifierTypeStateIssuer
3502505342OtherMIBLUE CROSS BLUE SHIELD
0988606OtherMIHEALTH PLUS

Other names 1

  • Manar Hammoud, M.D., P.C. Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Genesee Pediatrics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821130980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5067 W BRISTOL RD",
            "address_2": "SUITE J",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485072924",
            "telephone_number": "810-720-1510",
            "fax_number": "810-720-1726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5067 W BRISTOL RD",
            "address_2": "SUITE J",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485072924",
            "telephone_number": "810-720-1510",
            "fax_number": "810-720-1726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESEE PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAMMOUD",
        "authorized_official_first_name": "MANAR",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "810-720-1510",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301067983",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "3502505342",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLUS",
            "identifier": "0988606",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Manar Hammoud, M.D., P.C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.