PEDIATRIC HOLISTIC MEDICINE, PLC (NPI# 1174691547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174691547 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC HOLISTIC MEDICINE, PLC |
| Practice Address |
2350 Washtenaw Ave Ste 24 Ann Arbor MI 48104-4532 |
| Practice Telephone | 7342130255 |
| Practice Fax Number | 7342130241 |
| Mailing Telephone | 7342130255 |
| Mailing Fax Number | 7342130241 |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. SUSAN MCCREADIE (OWNER) |
| Authorized Official Telephone | 7342130255 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBS | 3506345401 | 01 |
| Street Address |
2350 WASHTENAW AVE STE 24 |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48104-4532 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942242177 | Thomas H Gibson Jr. | Chiropractor | 2350 Washtenaw Ave, Suite 12, Ann Arbor, MI 48104-4532 | 2006-06-12 |
| 1396286050 | Amanda Henderson | Massage Therapist | 2350 Washtenaw Ave, Suite 22, Ann Arbor, MI 48104-4532 | 2017-03-14 |
| 1861878316 | Gina M Verseman | Counselor | 2350 Washtenaw Ave, Ann Arbor, MI 48104-4532 | 2015-08-07 |
| 1235548132 | Rachel Levine Baruch | Psychologist | 2350 Washtenaw Ave, Ann Arbor, MI 48104-4532 | 2014-08-05 |
| 1760817399 | Shannon Thayer | Counselor | 2350 Washtenaw Ave, Suite 6, Ann Arbor, MI 48104-4532 | 2013-09-13 |
| 1689913071 | Wendy L Thompson Phd Pllc | Psychologist | 2350 Washtenaw Ave, Suite 6a, Ann Arbor, MI 48104-4532 | 2013-02-06 |
| 1477899755 | Sarah Lorene Mark | Mechanotherapist | 2350 Washtenaw Ave, Suite 14, Ann Arbor, MI 48104-4532 | 2012-12-14 |
| 1639422488 | Kathleen Nelson | Social Worker | 2350 Washtenaw Ave, Ste 6b, Ann Arbor, MI 48104-4532 | 2012-10-17 |
| 1811246580 | Judy Seldin | Psychologist | 2350 Washtenaw Ave, Ste 7e, Ann Arbor, MI 48104-4532 | 2012-09-10 |
| 1003165770 | Karen Gottschalk | Psychologist | 2350 Washtenaw Ave, Ste 7e, Ann Arbor, MI 48104 | 2012-09-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336603927 | Julie Corey | Counselor | 2604 Brockman Blvd, Ann Arbor, MI 48104 | 2019-01-28 |
| 1003301045 | Ann Arbor Pharmacy LLC | Pharmacy | 2418 E Stadium Blvd, Ann Arbor, MI 48104 | 2018-06-22 |
| 1811499304 | Melissa L Wright | Physical Therapist | 2850 S Industrial Hwy Suite 200, Ann Arbor, MI 48104 | 2018-03-01 |
| 1689180226 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3500 Washtenaw Ave Ste E3, Ann Arbor, MI 48104 | 2017-12-19 |
| 1861911547 | Jonathen Ross | Social Worker | 500 E. Washington St., Ste 100a, Ann Arbor, MI 48104 | 2017-09-14 |
| 1275058521 | Emily Lauren Hanna | Social Worker | 214 S. Main Street, Suite # 206, Ann Arbor, MI 48104 | 2017-08-08 |
| 1073035457 | Raynaldo Juaquin Valdez | Specialist/Technologist | 500 E. Hoover Ave, Ann Arbor, MI 48104 | 2017-07-07 |
| 1912436908 | Alison Nicole Tseng | Dentist | 2301 Platt Rd Ste 200, Ann Arbor, MI 48104 | 2017-06-05 |
| 1528593183 | Hillary Baldwin Steller, Lmsw,llc | Social Worker | 715-717 E. Huron St, Suite 2e, Ann Arbor, MI 48104 | 2017-04-20 |
| 1013360973 | Teresa Myers | Massage Therapist | 2230 Washtenaw Ave, Suite 101, Ann Arbor, MI 48104 | 2016-07-15 |
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| 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 |
|---|---|---|---|---|
| 1811553597 | Emile Muallem | Pediatrics | 1500 E. Med. Ctr Dr, Ann Arbor, MI 48109-5718 | 2019-05-17 |
| 1548754609 | Amy Wu | Pediatrics | 1500 East Medical Center Drive., Medical Professional Bldg. D-3238, Ann Arbor, MI 48109 | 2018-06-21 |
| 1396239992 | Christina Sloan-heggen | Pediatrics | 1500 E. Medical Center Drive., Medical Professional Building D-3230, Ann Arbor, MI 48109 | 2018-06-18 |
| 1568955730 | Alexander Sliwicki | Pediatrics | 1500 East Medical Drive, Medical Professional Building, Ann Arbor, MI 48105 | 2018-06-12 |
| 1528598489 | Allison Shewmake | Pediatrics | 1500 E Med Ctr Dr, Spc 5718, Ann Arbor, MI 48109-5718 | 2017-06-14 |
| 1821528928 | Caroline West | Pediatrics | 1500 E. Med. Ctr. Dr., Spc 5718, Ann Arbor, MI 48109-5718 | 2017-06-13 |
| 1083142418 | Aaron M. Schuh | Pediatrics | 1600 E. Med. Ctr. Dr., Mpb Spc 5718, Ann Arbor, MI 48109-5718 | 2017-05-30 |
| 1154858769 | Hira Rashid | Pediatrics | 1500 E. Medical Ctr. Dr., Spc 5718, Ann Arbor, MI 48109-5718 | 2017-05-12 |
| 1225443609 | David Svilar | Pediatrics | 1500 E Medical Center Dr Rm D4202, Ann Arbor, MI 48109-5000 | 2014-06-24 |
| 1669885125 | Phoebe Day Danziger | Pediatrics | 400 E Eisenhower Pkway, Ann Arbor, MI 48108-3302 | 2014-06-03 |
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| 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.