Hillsdale Pediatric Clinic PC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

HILLSDALE PEDIATRIC CLINIC PC

Practice address

3755 15 Mile Rd
Sterling Heights, MI 48310-5358

Phone

(586) 722-7498

Fax

(586) 722-7499

NPI assigned

Jun 25, 2008

Organization subpart

No

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

Authorized official

Name

Michael Sackman, M.D.NPI 1457387300

Title

Owner

Phone

(586) 722-7498

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/24266/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Sackman, MD

  • Pediatrics Physician
  • Sterling Heights, MI
  • NPI 1457387300
  Authorized official Same address or phone

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

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728518400000",
    "number": "1972765501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3755 15 MILE RD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483105358",
            "telephone_number": "586-722-7498",
            "fax_number": "586-722-7499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3755 15 MILE RD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483105358",
            "telephone_number": "586-722-7498",
            "fax_number": "586-722-7499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLSDALE PEDIATRIC CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-25",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A",
        "authorized_official_last_name": "SACKMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-722-7498",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "350C0107300",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hikmat P. Gogue, MD. PC
• Kirk Eric Hilborn, DC
• Diana Hill
• Dorothy L Hill
• Nakesha Hill
• Nedhal Hindo
• Robert Hines
• Genevieve Elaina Hinkley, PA-C
• Ashley Nicole Hinton
• Dung Ho, PHARM.D.

• Pediatrics Physician in Sterling Heights, MI
• Providers in Sterling Heights, MI by specialty
• Pediatrics Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; 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.