OAK TREE PEDIATRICS, P.C.
NPI 1104121615
Pediatrics in Brighton, MI

Active since January 13, 2011CLIA 23D2019263 · Waiver
401 E GRAND RIVER AVE, BRIGHTON, MI 48116(810) 225-7334(810) 225-3262 Get Directions Write a Review

NPPES record last updated: September 1, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Oak Tree Pediatrics, P.c. NPPES

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

OAK TREE PEDIATRICS, P.C. (NPI 1104121615) is a healthcare organization registered as a pediatrics in Brighton, Michigan and active in the NPI registry since January 2011. The organization holds a CLIA Waiver certificate valid through January 25, 2027 and lists Deborah A Mcewen, President, as its authorized official.

NPPES Registry Identity

NPI1104121615
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameOAK TREE PEDIATRICS, P.C.
Location Address401 E GRAND RIVER AVEBrighton, MI 48116-1515
Mailing Address401 E Grand River AveBrighton, MI 48116-1515 · (810) 225-7334 · Fax (810) 225-3262
Fax(810) 225-3262
Organization SubpartNo
Authorized OfficialDeborah A McewenPresident · (810) 225-7334
Enumeration DateJanuary 13, 2011
Last NPPES UpdateSeptember 1, 2013
NPI 1104121615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in MI · 4301074426
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.
401 E GRAND RIVER AVE, Brighton, MI 48116

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

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D2019263

Oak Tree Pediatrics PC · Brighton, MI
Active · expires Jan 25, 2027
CLIA Number23D2019263
Laboratory TypePhysician Office
Certificate Effective DateJanuary 26, 2025
Certificate Expiration DateJanuary 25, 2027
Laboratory DirectorDeborah A. Mc Ewen
Laboratory Phone(810) 225-7334
Laboratory LocationOak Tree Pediatrics PC401 E Grand River, Brighton, MI 48116
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

Pediatrics
401 E GRAND RIVER AVE
BRIGHTON, MI 48116
Physician Assistant
401 E GRAND RIVER AVE
BRIGHTON, MI 48116

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 Oak Tree Pediatrics, P.C.'s NPI number?

The NPI number for Oak Tree Pediatrics, P.C. is 1104121615. It was assigned to this organization in the NPPES registry on January 13, 2011.

Where is Oak Tree Pediatrics, P.C. located?

Oak Tree Pediatrics, P.C. is located at 401 E Grand River Ave, Brighton, MI 48116. The listed phone number is (810) 225-7334.

What is Oak Tree Pediatrics, P.C.'s specialty?

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

Does Oak Tree Pediatrics, P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2019263) is associated with this NPI, valid through January 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Oak Tree Pediatrics, P.C. accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Oak Tree Pediatrics, P.C. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Oak Tree Pediatrics, P.C. was last updated on September 1, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.