Great Lakes Pediatric Associates
Pediatrics
Great Lakes Pediatric Associates is a Lansing, Michigan based Pediatric center with medical specialization in
General Pediatrics.
It is located at
3400 Pinetree Rd, Ste 102, Lansing, Michigan - 48911-4286. They can be contacted on phone at
517-887-3000.
NPI number (Unique professional ID) for Great Lakes Pediatric Associates is
1023342474 which was assigned by NPPES on 01 Oct, 2009 and it was last updated on 01 Oct, 2009.
Great Lakes Pediatric Associates license number is
4301049233 for Pediatrics (208000000X) in Michigan.
Great Lakes Pediatric Associates is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Great Lakes Pediatric Associates basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Great Lakes Pediatric Associates |
|---|
Business Address:
Great Lakes Pediatric Associates address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 3400 Pinetree Rd, Ste 102
Lansing, MI, 48911-4286
United States |
|---|
| Phone Number : | 517-887-3000 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1023342474 |
|---|
| NPI Entity Type : | Organization |
|---|
| First Enrolment Date : | 01 Oct, 2009 |
|---|
| Last Updated On : | 01 Oct, 2009 |
|---|
Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Bethileen Charles |
|---|
| Official Title or Position : | PRACTICE MANAGER |
|---|
| Phone Number : | 517-887-3000 |
|---|
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Great Lakes Pediatric Associates are as mentioned. Primary taxonomy code for Great Lakes Pediatric Associates is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | 4301063626 | MI |
| 208000000X | Pediatrics | No | 4301078945 | MI |
| 208000000X | Pediatrics | No | 4301086445 | MI |
| 208000000X | Pediatrics | Yes | 4301049233 | MI |
Legacy Identifiers:
Other legacy medical identifiers of Great Lakes Pediatric Associates such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 3069367 | MEDICAID | MI | |
| 1144338450 | Other | MI | NPI |
| 4366885 | MEDICAID | MI | |
| 3080275 | MEDICAID | MI | |
| 1144338443 | Other | MI | NPI |
| 1730297045 | Other | MI | NPI |
| 1831309921 | Other | MI | NPI |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 3400 Pinetree Rd, Ste 102
Lansing, MI, 48911-4286
United States |
|---|
| Phone Number : | 517-887-3000 |
|---|
Business Location:
Patients can refer following map for directions to
Great Lakes Pediatric Associates practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.