Grand Blanc Pediatrics

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

FH063791 Issued in MI

Legal business name

GRAND BLANC PEDIATRICS

Practice address

8273 S Saginaw St Ste C
Grand Blanc, MI 48439-2465

Phone

(810) 695-6565

Fax

(810) 695-9476

NPI assigned

Apr 10, 2007

Organization subpart

No

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

Authorized official

Name

Fawaz Haddad, M.D.NPI 1194819029

Title

Owner

Phone

(810) 695-6565

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

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

• Fawaz E Haddad, MD

  • Pediatrics Physician
  • Grand Blanc, MI
  • NPI 1194819029
  NPD (past) Authorized official
• Lauren Byrne Goldie, NP

  • Pediatric Nurse Practitioner
  • Grand Blanc, MI
  • NPI 1780962902
  NPD (past)
• Amanda O'Guinn, NP

  • Family Nurse Practitioner
  • Grand Blanc, MI
  • NPI 1770127086
  NPD (past)

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787184000000",
    "number": "1962625947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8273 S SAGINAW ST STE C",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484392465",
            "telephone_number": "810-695-6565",
            "fax_number": "810-695-9476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8273 S SAGINAW ST STE C",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484392465",
            "telephone_number": "810-695-6565",
            "fax_number": "810-695-9476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND BLANC PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A",
        "authorized_official_last_name": "HADDAD",
        "authorized_official_first_name": "FAWAZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-695-6565",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "FH063791",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4675100",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Grand Blanc Medical Imaging, PLC
• Grand Blanc Obstetrics & Gynecology PC
• Grand Blanc Opco LLC
• Grand Blanc Opco LLC
• Grand Blanc Pediatric Dentistry PC
• Grand Blanc Periodontal Associates
• Grand Blanc Pharmacy LLC
• Grand Blanc Pharmacy LLC
• Grand Blanc Psychology PLLC
• Grand Blanc Psychology PLLC

• Pediatrics Physician in Grand Blanc, MI
• Providers in Grand Blanc, MI by specialty
• Pediatrics Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; 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.