PREMIERE PEDIATRICS, PC (NPI# 1134291982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134291982 |
| Entity Type | Organization |
| Organization Name | PREMIERE PEDIATRICS, PC |
| Practice Address |
7210 N Main St Suite 205 Clarkston MI 48346-1575 |
| Practice Telephone | 2486259755 |
| Practice Fax Number | 2486209334 |
| Mailing Telephone | 2486259755 |
| Mailing Fax Number | 2486209334 |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2012-04-16 |
| Authorized Official Name | JAMES CHARLES SHAYA (PRESIDENT) |
| Authorized Official Telephone | 2486259755 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Street Address |
7210 N MAIN ST SUITE 205 |
| City | CLARKSTON |
| State | MI |
| Zip Code | 48346-1575 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881644243 | Thomas G. Santarossa Dds PC | Dentist | 7210 N Main St, Suite 104, Clarkston, MI 48346-1575 | 2006-05-10 |
| 1770737066 | Joanna Marie Dhaliwal | Nurse Practitioner | 7210 N Main St, Suite 200, Clarkston, MI 48346-1575 | 2008-11-12 |
| 1700955788 | Thomas Gregory Santarossa | Dentist | 7210 N Main St, Suite 104, Clarkston, MI 48346-1575 | 2006-11-06 |
| 1164527941 | Romauld T Szymanowski | Otolaryngology | 7210 N Main St, Suite 108, Clarkston, MI 48346-1575 | 2006-09-14 |
| 1700994191 | Partwo Inc | Pharmacy | 7210 N Main St, Ste 102, Clarkston, MI 48346-1575 | 2006-08-27 |
| 1174533491 | Nathan Barton Chase | Internal Medicine | 7210 N Main St, Suite 200, Clarkston, MI 48346-1575 | 2006-08-09 |
| 1174533400 | Rosa Mirijanian | Internal Medicine | 7210 N Main St, Suite 200, Clarkston, MI 48346-1575 | 2006-08-09 |
| 1942210299 | Bashar Okka | Internal Medicine | 7210 N Main St, Suite 200, Clarkston, MI 48346-1575 | 2006-08-09 |
| 1578570156 | David P Sakstrup | Pharmacist | 7210 N Main St, Suite 102, Clarkston, MI 48346-1575 | 2006-08-03 |
| 1659307619 | James Charles Shaya | Pediatrics | 7210 N Main St, Ste 205, Clarkston, MI 48346 | 2006-06-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497399745 | Therapy Services of Clarkston LLC | Clinic/Center | 6770 Dixie Highway, Suite 103, Clarkston, MI 48346 | 2019-10-30 |
| 1679041545 | Shiba Lashon Nixon | Registered Nurse | New Oakland, 6549 Town Center Suite A, Clarkston, MI 48346 | 2018-11-08 |
| 1972079655 | Stephanie Gaumer | Social Worker | 6825 Dixie Hwy Ste E, Clarkston, MI 48346 | 2018-10-19 |
| 1912496324 | Regency At Independence Township, LLC | Skilled Nursing Facility | 6211 Stonewood Drive, Clarkston, MI 48346 | 2018-05-02 |
| 1558880591 | 3rd Circle Inc. | Home Health Aide | 39 South Main Street, Ste 2, Clarkston, MI 48346 | 2017-09-11 |
| 1376083246 | Rosemarie Villarreal | Social Worker | 4480 Elmdale Ave, Clarkston, MI 48346 | 2017-02-27 |
| 1932566940 | Syncere Hearts Home Healthcare, LLC | Home Health | 5836 North Marshbank Lane Apt203, Clarkston, MI 48346 | 2016-01-21 |
| 1649635087 | Coddaire & Associates, Inc. | Community/Behavioral Health | 6445 Citation Drive, Suite H, Clarkston, MI 48346 | 2015-12-30 |
| 1013386358 | Victoria Urikh-garcia | Technician, Other | 6510 Town Center Dr Ste E, Clarkston, MI 48346 | 2015-09-16 |
| 1194090993 | Stefanie Pavloski | Counselor | 5701 Bow Pointe Dr., Ste. #380, Clarkston, MI 48346 | 2012-03-13 |
| Find all providers in zip 48346 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497277404 | Kids-doc-on-wheels | Pediatrics | 4112 E Ponce De Leon Ave # 2, Clarkston, GA 30021-8106 | 2017-07-11 |
| 1679528491 | Ojoru Osunkoya | Pediatrics | 4112 E. Ponce De Leon, Clarkston, GA 30021 | 2006-05-23 |
| 1669421657 | Danielle Elizabeth Leskie | Pediatrics | 5710 Bow Pointe Drive, Suite 100, Clarkston, MI 48346-3199 | 2006-05-08 |
| 1700849825 | Regina Allen Hardin | Pediatrics | 4112 E. Ponce De Leon Avenue, Clarkston, GA 30021 | 2006-04-10 |
| 1366441032 | Patrice Gibson Chishom | Pediatrics | 4112 E Ponce De Leon Ave, Clarkston, GA 30021-8106 | 2005-07-15 |
| 1417955246 | James A Oneill | Pediatrics | 5701 Bow Pointe Dr, Suite 100, Clarkston, MI 48346-3198 | 2005-07-14 |
| 1760708499 | Clarkston Urgent Care Plc | Pediatrics | 5701 Bow Pointe Dr, Suite 120, Clarkston, MI 48346-3198 | 2010-04-20 |
| 1508992041 | Michael E. Stachecki, M.d., P.l.l.c. | Pediatrics | 5885 S Main St, Suite 3, Clarkston, MI 48346-2981 | 2007-02-27 |
| 1619029592 | Decatur Pediatric Group, Pa | Pediatrics | 4112 E Ponce De Leon Ave, Clarkston, GA 30021-1817 | 2007-01-18 |
| 1962579631 | Keanna L Joseph-clarke | Pediatrics | 4112 E Ponce De Leon Ave, Clarkston, GA 30021-8106 | 2006-11-29 |
| Find all providers in CLARKSTON | ||||
Please comment or provide details below to improve the information on PREMIERE PEDIATRICS, PC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.