MAIN STREET PEDIATRICS PLLC
NPI 1073853008
Pediatrics in West Bloomfield, MI

Active since February 28, 2013
7362 RAFFORD LN, WEST BLOOMFIELD, MI 48322(248) 819-2664 Get Directions Write a Review

NPPES record last updated: February 28, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Pediatrics

About MAIN STREET PEDIATRICS PLLC

This page provides the complete NPI Profile along with additional information for Main Street Pediatrics Pllc, a pediatrician established in West Bloomfield, Michigan operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1073853008 assigned on February 2013. The practitioner's primary taxonomy code is 208000000X with license number 4301088451 (MI). The provider is registered as an organization and their NPI record was last updated 13 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Rhonda Yono-atisha Md (Managing Member)

NPI
1073853008 Verify this NPI
Provider Name
MAIN STREET PEDIATRICS PLLC
Entity Type
Organization
Location Address
7362 RAFFORD LN WEST BLOOMFIELD, MI 48322
Location Phone
(248) 819-2664
Mailing Address
7362 RAFFORD LN WEST BLOOMFIELD, MI 48322
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-28-2013
Last Update Date
02-28-2013
Code Navigator

A pediatrician like Main Street Pediatrics Pllc is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics

Taxonomy Code
208000000X
Type
Allopathic & Osteopathic Physicians
License No.
4301088451
License State
MI
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

RHONDA YONO-ATISHA MD

Authorized Official Title
MANAGING MEMBER
Authorized Official Phone
(248) 819-2664

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073853008, enumerated as an "organization" on February 28, 2013.

The provider is located at 7362 RAFFORD LN WEST BLOOMFIELD, MI 48322 and the phone number is (248) 819-2664.

Pediatrics with taxonomy code 208000000X.