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MCLAREN MACOMB
NPI 1083669691
Pediatrics in Mt. Clemens, MI

Active since May 23, 2006
1000 HARRINGTON BLVD., ATTN: SPECIAL CARE NURSERY, MT. CLEMENS, MI 48043(586) 493-8296(586) 741-4114 Get Directions Write a Review

NPPES record last updated: May 23, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mclaren Macomb NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MCLAREN MACOMB (NPI 1083669691) is a healthcare organization registered as a pediatrics in Mt. Clemens, Michigan and active in the NPI registry since May 2006. The organization lists Thomas M Brisse, Ceo, as its authorized official.

NPPES Registry Identity

NPI1083669691
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameMCLAREN MACOMB
Location Address1000 HARRINGTON BLVD., ATTN: SPECIAL CARE NURSERYMt. Clemens, MI 48043
Mailing Address1000 Harrington Blvd., Attn: Special Care NurseryMt. Clemens, MI 48043-2920 · (586) 493-8296 · Fax (586) 741-4114
Phone(586) 493-8296
Fax(586) 741-4114
Organization SubpartNo
Authorized OfficialThomas M BrisseCeo · (586) 493-8083
Enumeration DateMay 23, 2006
Last NPPES UpdateMay 23, 2018
✔ NPI 1083669691 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MI · 4301085002
Definition
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.
1000 HARRINGTON BLVD., Mt. Clemens, MI 48043
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Other Identifiers 1

Medicaid4819971MI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALLYSON BOWES RIVARD D.O.
Surgery
1000 HARRINGTON BLVD.
MOUNT CLEMENS, MI 48043
Macomb County (586) 493-8000
DR. EVAN PATRICK COYNE D.O.
Emergency Medicine
1000 HARRINGTON BLVD.
MT. CLEMENS, MI 48043
Macomb County (586) 493-8000
DR. DOMINIC CARL FANO D.O.
Family Medicine
1000 HARRINGTON BLVD.
MOUNT CLEMENS, MI 48043
Macomb County (586) 493-3727
MCLAREN MACOMB
Internal Medicine
1000 HARRINGTON BLVD.
MOUNT CLEMENS, MI 48043
Macomb County (586) 493-8000
DR. MICHAEL BLAIR DEYOUNG D.O.
Internal Medicine (Cardiovascular Disease)
1000 HARRINGTON BLVD.
MOUNT CLEMENS, MI 48043
Macomb County (586) 493-8000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mclaren Macomb's NPI number?

The NPI number for Mclaren Macomb is 1083669691. It was assigned to this organization in the NPPES registry on May 23, 2006.

Where is Mclaren Macomb located?

Mclaren Macomb is located at 1000 Harrington Blvd. Attn: Special Care Nursery, Mt. Clemens, MI 48043. The listed phone number is (586) 493-8296.

What is Mclaren Macomb's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Mclaren Macomb was last updated on May 23, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.