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PREMIERE PEDIATRICS, PC
NPI 1134291982
Pediatrics in Clarkston, MI

Active since November 15, 2006CLIA 23D0872627 · Waiver
7210 N MAIN ST, SUITE 205, CLARKSTON, MI 48346(248) 625-9755(248) 620-9334 Get Directions Write a Review

NPPES record last updated: April 16, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Premiere Pediatrics, Pc NPPES

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

PREMIERE PEDIATRICS, PC (NPI 1134291982) is a healthcare organization registered as a pediatrics in Clarkston, Michigan and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through March 21, 2027 and lists James Charles Shaya, President, as its authorized official.

NPPES Registry Identity

NPI1134291982
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NamePREMIERE PEDIATRICS, PC
Location Address7210 N MAIN ST, SUITE 205Clarkston, MI 48346-1575
Mailing Address7210 N Main St, Suite 205Clarkston, MI 48346-1575 · (248) 625-9755 · Fax (248) 620-9334
Phone(248) 625-9755
Fax(248) 620-9334
Organization SubpartNo
Authorized OfficialJames Charles ShayaPresident · (248) 625-9755
Enumeration DateNovember 15, 2006
Last NPPES UpdateApril 16, 2012
✔ NPI 1134291982 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
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.

7210 N MAIN ST, Clarkston, MI 48346
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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

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Michigan Mutual Insurance Company.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 23D0872627

Premiere Pediatrics · Clarkston, MI
Active · expires Mar 21, 2027
CLIA Number23D0872627
Laboratory TypePhysician Office
Certificate Effective DateMarch 22, 2025
Certificate Expiration DateMarch 21, 2027
Laboratory DirectorJames Shaya
Laboratory Phone(248) 625-9755
Laboratory LocationPremiere Pediatrics7210 Ortonville Road Suite 205, Clarkston, MI 48346
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 11

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

SATISH SUNDAR MD
Pediatrics
7210 N MAIN ST, STE 205
CLARKSTON, MI 48346
Oakland County (248) 625-9755
JAMES CHARLES SHAYA MD
Pediatrics
7210 N MAIN ST, STE 205
CLARKSTON, MI 48346
Oakland County (248) 625-9755
TRACY EADIE THOMPSON MD
Pediatrics
7210 N MAIN ST, STE 205
CLARKSTON, MI 48346
Oakland County (248) 625-9755
MR. DAVID P SAKSTRUP RPH
Pharmacist
7210 N MAIN ST, SUITE 102
CLARKSTON, MI 48346
Oakland County (248) 625-3885
DR. NATHAN BARTON CHASE M.D.
Internal Medicine
7210 N MAIN ST, SUITE 200
CLARKSTON, MI 48346
Oakland County (248) 625-1600
DR. THOMAS GREGORY SANTAROSSA DDS
Dentist (General Practice)
7210 N MAIN ST, SUITE 104
CLARKSTON, MI 48346
Oakland County (248) 620-9010
MS. JOANNA MARIE DHALIWAL NP
Nurse Practitioner (Family)
7210 N MAIN ST, SUITE 200
CLARKSTON, MI 48346
Oakland County (248) 625-0372
PARTWO INC
Pharmacy (Community/Retail Pharmacy)
7210 N MAIN ST, STE 102
CLARKSTON, MI 48346
Oakland County (248) 625-3885

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 Premiere Pediatrics, PC's NPI number?

The NPI number for Premiere Pediatrics, PC is 1134291982. It was assigned to this organization in the NPPES registry on November 15, 2006.

Where is Premiere Pediatrics, PC located?

Premiere Pediatrics, PC is located at 7210 N Main St Suite 205, Clarkston, MI 48346. The listed phone number is (248) 625-9755.

What is Premiere Pediatrics, PC's specialty?

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

Does Premiere Pediatrics, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D0872627) is associated with this NPI, valid through March 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Premiere Pediatrics, PC accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Premiere Pediatrics, PC 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 Premiere Pediatrics, PC was last updated on April 16, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.