Pediatric Specialty Group
LBN: Mclaren Macomb
Pediatric Specialty Group is an health care organization with primary practice located at 43900 Garfield Rd Ste. 201, Clinton Township MI 48038. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities, Allopathic & Osteopathic Physicians / Pediatric Cardiology. Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities is the primary health care specialty.
Mclaren Macomb can be contacted via phone (586) 412-5110, or through Brisse, Thomas M via phone (586) 493-8083.
Contact Information
Primary practice address
43900 Garfield Rd Ste. 201
Clinton Township MI 48038
Phone: (586) 412-5110
Fax: (586) 412-5116
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities | 2080P0008X | ||
| Allopathic & Osteopathic Physicians / Pediatric Cardiology | 2080P0202X |
Profile Details
| NPI number | 1821049990 |
|---|---|
| LBN Legal business name | Mclaren Macomb |
| DBA Doing business as | Pediatric Specialty Group |
| Authorized official | Brisse, Thomas M |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 13th, 2006 |
| Last updated | May 23rd, 2018 - about 6 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821049990 | NPPES |
| Michigan | MEDICAID | 4168314 | |
| Michigan | MEDICAID | 3518937 | |
| Michigan | MEDICAID | 3298780 | |
| Michigan | MEDICAID | 3298762 |
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