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PEDIATRICS PC
NPI 1265421069
Pediatrics in Portage, MI

Active since October 14, 2005
670 MALL DR, PORTAGE, MI 49024(269) 327-1900(269) 327-1564 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pediatrics Pc NPPES

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

PEDIATRICS PC (NPI 1265421069) is a healthcare organization registered as a pediatrics in Portage, Michigan and active in the NPI registry since October 2005. The organization lists Stephen R Lull, President, as its authorized official.

NPPES Registry Identity

NPI1265421069
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NamePEDIATRICS PC
Location Address670 MALL DRPortage, MI 49024-2878
Mailing Address670 Mall DrPortage, MI 49024-2878 · (269) 327-1900 · Fax (269) 327-1564
Phone(269) 327-1900
Fax(269) 327-1564
Organization SubpartNo
Authorized OfficialStephen R LullPresident · (269) 327-1900
Enumeration DateOctober 14, 2005
Last NPPES UpdateAugust 22, 2020
✔ NPI 1265421069 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.
670 MALL DR, Portage, MI 49024
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 10

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

RANDALL L DYK MD
Pediatrics
670 MALL DR
PORTAGE, MI 49024
Kalamazoo County (269) 491-3263
SANDRA WIEDERHOLD MD
Pediatrics
670 MALL DR
PORTAGE, MI 49024
Kalamazoo County (269) 327-1900
PARAGON HEALTH PC
Pediatrics
670 MALL DR
PORTAGE, MI 49024
Kalamazoo County (269) 491-3263
DAVID L OHMART M.D.
Pediatrics
670 MALL DR
PORTAGE, MI 49024
Kalamazoo County (269) 327-1900
NATALIE M BEHRLE MD
Pediatrics
670 MALL DR
PORTAGE, MI 49024
Kalamazoo County (269) 327-1900
ANN PATRICE SHEEHAN DNP, CPNP
Nurse Practitioner (Pediatrics)
670 MALL DR
PORTAGE, MI 49024
Kalamazoo County (269) 327-1900
MARK A BLAZEK M.D.
Pediatrics
670 MALL DR
PORTAGE, MI 49024
Kalamazoo County (269) 327-1900
DR. JUSTINE ELIZABETH BUNKA
Pediatrics
670 MALL DR
PORTAGE, MI 49024
Kalamazoo County (269) 491-3263

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 Pediatrics PC's NPI number?

The NPI number for Pediatrics PC is 1265421069. It was assigned to this organization in the NPPES registry on October 14, 2005.

Where is Pediatrics PC located?

Pediatrics PC is located at 670 Mall Dr, Portage, MI 49024. The listed phone number is (269) 327-1900.

What is Pediatrics PC'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 Pediatrics PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.