Mid Michigan Pediatric Cardiology, PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

4301063051 Issued in MI

Legal business name

MID MICHIGAN PEDIATRIC CARDIOLOGY, PC

Practice address

900 Cooper Ave
Suite #4200
Saginaw, MI 48602-5182

Phone

(989) 752-8669

Fax

(989) 752-4844

NPI assigned

Apr 2, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Sally A Leclair

Title

Office Coordinator

Phone

(989) 752-8669

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

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

• Hani Zreik, M.D.

  • Pediatric Cardiology Physician
  • Saginaw, MI
  • NPI 1881709871
  Medicare reassignment NPD

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

{
    "created_epoch": "1207094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245024000000",
    "number": "1841463577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 COOPER AVE",
            "address_2": "SUITE #4200",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486025182",
            "telephone_number": "989-752-8669",
            "fax_number": "989-752-4844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 COOPER AVE",
            "address_2": "SUITE #4200",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486025182",
            "telephone_number": "989-752-8669",
            "fax_number": "989-752-4844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID MICHIGAN PEDIATRIC CARDIOLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-02",
        "last_updated": "2009-06-15",
        "status": "A",
        "authorized_official_last_name": "LECLAIR",
        "authorized_official_first_name": "SALLY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE COORDINATOR",
        "authorized_official_telephone_number": "989-752-8669",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MI",
            "license": "4301063051",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MICHIGAN",
            "identifier": "3507344422",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4180201",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "3507344422",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michigan Urine Toxicology and Research LLC
• Mid Michigan Acute and Sub Acute Care PLLC
• Mid Michigan Advanced Imaging LLC
• Mid Michigan Diagnostic Corp
• Mid Michigan Gastrointestinal & Motility PC
• Mid Michigan Surgical Specialists P C
• Mid Michigan Vascular Surgery, P.C.
• Mid-Michigan Cleaning Services
• Mid-Michigan Heart and Vascular Center, P.C
• Mid-Michigan Pediatrics PC

• Specialist in Saginaw, MI
• Providers in Saginaw, MI by specialty
• Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.