J & I PEDIATRIC CARE CENTER (NPI# 1932229382) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932229382 |
| Entity Type | Organization |
| Organization Name | J & I PEDIATRIC CARE CENTER |
| Other Organization Name | PEDIATRIC CARE CENTER |
| Practice Address |
9720 Dix Dearborn MI 48120-1566 |
| Practice Telephone | 3138411680 |
| Mailing Telephone | 3138411680 |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2020-02-06 |
| Authorized Official Name | MRS. MANAL N HADDAD (OFFICE MANAGER) |
| Authorized Official Telephone | 3138411680 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBSM GROUP NUMBER | 350H211870 | 01 |
| Other Name | Type Code |
|---|---|
| Pediatric Care Center | Doing Business As Name - Organization |
| Street Address |
9720 DIX |
| City | DEARBORN |
| State | MI |
| Zip Code | 48120-1566 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124091376 | Issa T. Haddad | Pediatrics | 9720 Dix, Dearborn, MI 48120-1566 | 2006-02-08 |
| 1356790778 | Tania Haddad Abiaad | Pediatrics | 9720 Dix, Dearborn, MI 48120-1566 | 2016-06-07 |
| 1023320231 | Raed Haddad | Internal Medicine | 9720 Dix, Ste B, Dearborn, MI 48120-1566 | 2010-07-06 |
| 1285670695 | Nazir Hakmeh | Pediatrics | 9720 Dix, Dearborn, MI 48120-1566 | 2006-06-22 |
| 1447224043 | Jiries T Haddad | Pediatrics | 9720 Dix, Dearborn, MI 48120-1566 | 2006-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649655838 | Jeffrey Leonard Bachynski | Social Worker | 15200 Mercantile, Dearborn, MI 48120 | 2015-07-29 |
| 1518369412 | Raed Haddad Md, Pllc | Internal Medicine | 9720 Dix Ste B, Dearborn, MI 48120 | 2014-09-23 |
| 1083902217 | Lena Sarsam | Physician Assistant | 10306 Dix Ave., Dearborn, MI 48120 | 2011-07-21 |
| 1023314341 | Dearborn Internist P.C. | Internal Medicine | 10066 Dix Ave, Suite 100, Dearborn, MI 48120 | 2011-02-03 |
| 1003027897 | Hooverrx | Pharmacist | 1363 Salina St, Dearborn, MI 48120 | 2007-05-24 |
| 1154415776 | Metro Home Health Care Plans, Inc. | Home Health | 15350 Commerce Dr. N, Ste. 200, Dearborn, MI 48120 | 2006-10-03 |
| 1356382303 | Nashereen Tootla | Physical Therapist | 10066 Dix Rd, Deaborn, MI 48120 | 2006-06-09 |
| 1356886303 | Samatha Lee Stone | Behavioral Analyst | 3200 Greenfield Rd Ste 300, Dearborn, MI 48120 | 2016-12-29 |
| 1225479421 | Tiffany Ann Murray | Social Worker | 15350 N Commerce Dr, Dearborn, MI 48120 | 2013-07-16 |
| 1114268562 | Frank Quinones | Social Worker | 15350 N Commerce Dr, Suite 204, Dearborn, MI 48120 | 2013-03-11 |
| Find all providers in zip 48120 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| 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/certification - 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 |
|---|---|---|---|---|
| 1548350531 | Lobna Elhasan-fakih | Pediatrics | 2547 Monroe St, Dearborn, MI 48124-3013 | 2006-10-13 |
| 1023103025 | Kingkhan Boriboon | Pediatrics | 3850 Pelham St, Dearborn, MI 48124-3832 | 2006-10-04 |
| 1568433506 | Robert S Levy | Pediatrics | 2845 Monroe St, Dearborn, MI 48124-3491 | 2006-01-29 |
| 1528249224 | Hiam Nhme | Pediatrics | 12813 W Warren Ave, Dearborn, MI 48126-1532 | 2007-11-21 |
| 1932313798 | Boriboon Pediatrics | Pediatrics | 3850 Pelham St, Dearborn, MI 48124-3832 | 2007-05-10 |
| 1295893899 | Roberto Benejam | Pediatrics | 13700 Michigan Ave, Dearborn, MI 48126-3489 | 2006-12-05 |
| 1366500092 | Roberto Benejam Md PC | Pediatrics | 13700 Michigan Ave, Dearborn, MI 48126-3489 | 2006-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265921191 | Gogue Pediatrics, P.C. | Pediatrics | 39242 Dequindre Rd Ste 101, Sterling Heights, MI 48310-1764 | 2018-05-07 |
| 1073010625 | Vernor Pediatric PC | Pediatrics | 4607 W Vernor Hwy, Detroit, MI 48209-2117 | 2018-04-10 |
| 1801257738 | Alshefa Family Practice Pllc | Pediatrics | 28780 Ryan Rd, Suite B, Warren, MI 48092-2521 | 2016-03-20 |
| 1497130132 | Branch Pediatric&adolescent Medicinepc | Pediatrics | 360 E Chicago St Ste 101, Coldwater, MI 49036-2086 | 2015-07-23 |
| 1700277977 | Spectrum Health United | Pediatrics | 318 S Bridge St, Belding, MI 48809-1764 | 2015-02-10 |
| 1477943900 | Pediatric & Adolescent Clinic of Michigan | Pediatrics | 37375 Curtis Rd, Livonia, MI 48152-4090 | 2015-02-04 |
| 1316360043 | William Waters | Pediatrics | 981 Townline Rd, Charlevoix, MI 49720-8970 | 2014-01-31 |
| 1114348596 | Southwest Pediatrics Pllc | Pediatrics | 37672 Professional Center Dr Ste 120, Livonia, MI 48154-1140 | 2014-01-02 |
| 1467889386 | Community Health Center of Branch County | Pediatrics | 450 E Grant St, Bronson, MI 49028-1524 | 2013-10-09 |
| 1851687107 | Community Health Center of Branch County | Pediatrics | 18 Colfax St, Quincy, MI 49082-1139 | 2011-06-24 |
| Find all providers with the same taxonomy | ||||
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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.