LIBERTY PEDIATRICS PLLC (NPI# 1568633253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568633253 |
| Entity Type | Organization |
| Organization Name | LIBERTY PEDIATRICS PLLC |
| Practice Address |
3200 W Liberty Rd Suite A Ann Arbor MI 48103-9746 |
| Practice Telephone | 7349945858 |
| Practice Fax Number | 7349944322 |
| Mailing Telephone | 7349945858 |
| Mailing Fax Number | 7349944322 |
| Enumeration Date | 2008-03-20 |
| Last Update Date | 2008-03-20 |
| Authorized Official Name | DR. ANDREW JON SEILER (MEMBER) |
| Authorized Official Telephone | 7349945858 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 4301069944 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
3200 W LIBERTY RD SUITE A |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48103-9746 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053371351 | Andrew Jon Seiler | Pediatrics | 3200 W Liberty Rd, Suite A, Ann Arbor, MI 48103-9746 | 2006-03-23 |
| 1881204311 | Annie Warbritton | Speech-Language Pathologist | 3200 W Liberty Rd, Ann Arbor, MI 48103-9746 | 2020-08-10 |
| 1891261533 | Michelle Rae Defrancesco | Social Worker | 3200 W Liberty Rd, Ann Arbor, MI 48103-9746 | 2018-10-20 |
| 1649702812 | Diana Marija Manitz | Occupational Therapist | 3200 W Liberty Rd, Ann Arbor, MI 48103-9746 | 2017-03-28 |
| 1841666419 | Tracy Mistry | Occupational Therapist | 3200 W Liberty Rd, Ann Arbor, MI 48103-9746 | 2015-08-18 |
| 1346629193 | Andrea Bucovetsky | Speech-Language Pathologist | 3200 W Liberty Rd, Suite F, Ann Arbor, MI 48103-9746 | 2015-05-27 |
| 1144608456 | Aa Therapy Works | Physical Therapist | 3200 W Liberty Rd, Suite F, Ann Arbor, MI 48103-9746 | 2015-05-07 |
| 1922405224 | Kyla Boyse | Nurse Practitioner | 3200 W Liberty Rd, Ann Arbor, MI 48103-9746 | 2014-12-02 |
| 1891128690 | Samantha Hagen | Speech-Language Pathologist | 3200 W Liberty Rd, Suite F, Ann Arbor, MI 48103-9746 | 2013-08-15 |
| 1912346701 | Ananda Marian Alberda Jatel | Social Worker | 3200 W Liberty Rd, Ann Arbor, MI 48103-9746 | 2013-06-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043839343 | Melissa Sylvia Danan Rilko | Social Worker | 1775 Timber Trail, Ann Arbor, MI 48103 | 2020-04-16 |
| 1427602929 | Ashwini Gulwadi, Pllc | Psychiatry & Neurology | 2100 S Main Street, Suite A, Unit 4, Ann Arbor, MI 48103 | 2019-08-01 |
| 1225593155 | Brent Aaron Reeve | Chiropractor | 203 S. Zeeb Rd., Suite 106, Ann Arbor, MI 48103 | 2019-02-05 |
| 1548746779 | Loren Camano Shkolnik | Registered Nurse | 3200 W Liberty Rd Ste C5, Ann Arbor, MI 48103 | 2018-07-11 |
| 1982193256 | Jacob B Nienhuis | Psychologist | 4488 Jackson Rd Ste 7b, Ann Arbor, MI 48103 | 2018-05-02 |
| 1053818633 | Regents of The University of Michigan | Eyewear Supplier (Equipment, not the service) | 380 Parkland Plz Ste 210, Ann Arbor, MI 48103 | 2018-04-10 |
| 1376052647 | Shivika Verma | Dentist | 3071 Signature Blvd, Apartment #f, Ann Arbor, MI 48103 | 2017-09-29 |
| 1881118206 | Harrison Udensi Igwe | Clinic/Center | 522 South Maple Stree, Ann Arbor, MI 48103 | 2017-07-27 |
| 1841727641 | Kathleen Murphy | Psychologist | 4141 Woodland Drive, Ann Arbor, MI 48103 | 2017-05-11 |
| 1972037133 | Jonathan Broek | Dietitian, Registered | 2920 Lakeview Dr, Ann Arbor, MI 48103 | 2017-04-14 |
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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.