CLYDE PARK PEDIATRICS, P.C.
NPI 1275558926
Pediatrics in Wyoming, MI

Q: What is Clyde Park Pediatrics, P.C.'s NPI number?

The NPI number for Clyde Park Pediatrics, P.C. is 1275558926. It was assigned to this organization in the NPPES registry on July 13, 2006.

Q: What is Clyde Park Pediatrics, P.C.'s specialty?

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

Active since July 13, 2006

3637 CLYDE PARK AVE SW STE 4, WYOMING, MI 49509(616) 808-3265(616) 726-7019 Get Directions Write a Review

NPPES record last updated: June 10, 2014. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Clyde Park Pediatrics, P.c. NPPES

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

CLYDE PARK PEDIATRICS, P.C. (NPI 1275558926) is a healthcare organization registered as a pediatrics in Wyoming, Michigan and active in the NPI registry since July 2006. The organization lists Flor Borrero, Owner, as its authorized official.

NPPES Registry Identity

NPI1275558926

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameCLYDE PARK PEDIATRICS, P.C.

Location Address3637 CLYDE PARK AVE SW STE 4Wyoming, MI 49509

Mailing Address3637 Clyde Park Ave Sw Ste 4Wyoming, MI 49509 · (616) 808-3265 · Fax (616) 726-7019

Phone(616) 808-3265

Fax(616) 726-7019

Organization SubpartNo

Authorized OfficialFlor BorreroOwner · (616) 808-3265

Enumeration DateJuly 13, 2006

Last NPPES UpdateJune 10, 2014

✔ NPI 1275558926 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in MI · 4301066741

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.

3637 CLYDE PARK AVE SW STE 4, Wyoming, MI 49509

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Other Identifiers 1

Medicare UPIND48289

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

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

CHRISTIAN GLOBAL MEDICAL HEALTHCARE, INCORPORATED

Family Medicine

3637 CLYDE PARK AVE SW STE 4
WYOMING, MI 49509

Kent County (616) 808-3265

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 Clyde Park Pediatrics, P.C.'s NPI number?

The NPI number for Clyde Park Pediatrics, P.C. is 1275558926. It was assigned to this organization in the NPPES registry on July 13, 2006.

Where is Clyde Park Pediatrics, P.C. located?

Clyde Park Pediatrics, P.C. is located at 3637 Clyde Park Ave SW Ste 4, Wyoming, MI 49509. The listed phone number is (616) 808-3265.

What is Clyde Park Pediatrics, P.C.'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 Clyde Park Pediatrics, P.C. was last updated on June 10, 2014. 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.