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PEDIATRIC ASSOCIATES OF KENTWOOD
NPI 1174573471
Specialist in Kentwood, MI

Active since May 10, 2006CLIA 23D0690165 · Waiver
4444 KALAMAZOO AVE SE, SUITE 103, KENTWOOD, MI 49508(616) 281-5800(616) 281-5495 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Pediatric Associates Of Kentwood NPPES

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

PEDIATRIC ASSOCIATES OF KENTWOOD (NPI 1174573471) is a healthcare organization registered as a specialist in Kentwood, Michigan and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through April 8, 2027 and lists James R Jokerst, President, as its authorized official.

NPPES Registry Identity

NPI1174573471
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NamePEDIATRIC ASSOCIATES OF KENTWOOD
Location Address4444 KALAMAZOO AVE SE, SUITE 103Kentwood, MI 49508-4600
Mailing Address4444 Kalamazoo Ave Se, Suite 103Kentwood, MI 49508-4600 · (616) 281-5800 · Fax (616) 281-5495
Phone(616) 281-5800
Fax(616) 281-5495
Organization SubpartNo
Authorized OfficialJames R JokerstPresident · 26162815800
Enumeration DateMay 10, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1174573471 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

4444 KALAMAZOO AVE SE, Kentwood, MI 49508
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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

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 23D0690165

Pediatric Associates Of Kentwood PC · Kentwood, MI
Active · expires Apr 8, 2027
CLIA Number23D0690165
Laboratory TypePhysician Office
Certificate Effective DateApril 9, 2025
Certificate Expiration DateApril 8, 2027
Laboratory DirectorJames R. Jokerst
Laboratory Phone(616) 281-5800
Laboratory LocationPediatric Associates Of Kentwood PC4444 Kalamazoo SE Ste 103, Kentwood, MI 49508
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 15

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

MRS. PAMELA DENISE KEENAN AUDIOLOGIST MA.,CCCA
Audiologist
4444 KALAMAZOO AVE SE
KENTWOOD, MI 49508
Kent County (616) 455-9180
SPECTRUM HEALTH PRIMARY CARE PARTNERS
Advanced Practice Midwife
4444 KALAMAZOO AVE SE, SUITE 104
GRAND RAPIDS, MI 49508
Kent County (616) 391-3302
KEVIN MCCORMICK MD
Internal Medicine
4444 KALAMAZOO AVE SE
KENTWOOD, MI 49508
Kent County (616) 391-5600
DR. DANA L LEARY M.D.
Pediatrics
4444 KALAMAZOO AVE SE, SUITE 103
KENTWOOD, MI 49508
Kent County (616) 281-5800
JAY BRIAN ALLAIRE MPT
Physical Therapist
4444 KALAMAZOO AVE SE
GRAND RAPIDS, MI 49508
Kent County (616) 391-5600
JAMES A. GEISSLER MD
Internal Medicine
4444 KALAMAZOO AVE SE
KENTWOOD, MI 49508
Kent County (616) 391-5600
SHARON SCHROEDER DASS
Social Worker
4444 KALAMAZOO AVE SE, SUITE 200
KENTWOOD, MI 49508
Kent County (616) 391-5600
CINDY BILISKO ANP
Nurse Practitioner (Adult Health)
4444 KALAMAZOO AVE SE, SUITE 200
GRAND RAPIDS, MI 49508
Kent County (616) 391-5600

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 Pediatric Associates Of Kentwood's NPI number?

The NPI number for Pediatric Associates Of Kentwood is 1174573471. It was assigned to this organization in the NPPES registry on May 10, 2006.

Where is Pediatric Associates Of Kentwood located?

Pediatric Associates Of Kentwood is located at 4444 Kalamazoo Ave SE Suite 103, Kentwood, MI 49508. The listed phone number is (616) 281-5800.

What is Pediatric Associates Of Kentwood's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Pediatric Associates Of Kentwood hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D0690165) is associated with this NPI, valid through April 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pediatric Associates Of Kentwood was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.