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WATERFORD PEDIATRICS
NPI 1104082148
General Practice in Waterford, MI

Active since July 30, 2008
4185 HIGHLAND RD, WATERFORD, MI 48328(248) 648-8930(248) 648-8931 Get Directions Write a Review

NPPES record last updated: July 30, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Waterford Pediatrics NPPES

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

WATERFORD PEDIATRICS (NPI 1104082148) is a healthcare organization registered as a general practice in Waterford, Michigan and active in the NPI registry since July 2008. The organization lists Vicki L Inman, Billing Mgr, as its authorized official.

NPPES Registry Identity

NPI1104082148
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameWATERFORD PEDIATRICS
Location Address4185 HIGHLAND RDWaterford, MI 48328
Mailing Address4185 Highland RdWaterford, MI 48328 · (248) 648-8930 · Fax (248) 648-8931
Phone(248) 648-8930
Fax(248) 648-8931
Organization SubpartNo
Authorized OfficialVicki L InmanBilling Mgr · (248) 666-4266
Enumeration DateJuly 30, 2008
✔ NPI 1104082148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in MI · MK057394
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
4185 HIGHLAND RD, Waterford, MI 48328
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Other Identifiers 8

Other0634011Bcbs
Medicare UPING97370MI
Other120911Carechoices
Other15486Health Plan
Medicare PINOP13980MI
OtherC7543Mcare
Other021121Midwest
Medicaid4149524MI

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

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 Waterford Pediatrics's NPI number?

The NPI number for Waterford Pediatrics is 1104082148. It was assigned to this organization in the NPPES registry on July 30, 2008.

Where is Waterford Pediatrics located?

Waterford Pediatrics is located at 4185 Highland Rd, Waterford, MI 48328. The listed phone number is (248) 648-8930.

What is Waterford Pediatrics's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Waterford Pediatrics was last updated on July 30, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.