1. Home
  2. Directory
  3. Michigan
  4. Marquette
  5. Specialist
  6. NPI Profile

PEDIATRIC & ADOLESCENT HEALTHCARE ASSOCIATES, PC
NPI 1346428315
Specialist in Marquette, MI

Active since February 01, 2008
1414 W FAIR AVE, SUITE 226, MARQUETTE, MI 49855(906) 225-3925(906) 225-4838 Get Directions Write a Review

NPPES record last updated: February 1, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pediatric & Adolescent Healthcare Associates, Pc NPPES

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

PEDIATRIC & ADOLESCENT HEALTHCARE ASSOCIATES, PC (NPI 1346428315) is a healthcare organization registered as a specialist in Marquette, Michigan and active in the NPI registry since February 2008. The organization lists Michael Nidiffer, Owner, as its authorized official.

NPPES Registry Identity

NPI1346428315
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NamePEDIATRIC & ADOLESCENT HEALTHCARE ASSOCIATES, PC
Location Address1414 W FAIR AVE, SUITE 226Marquette, MI 49855-2675
Mailing Address1414 W Fair Ave, Suite 226Marquette, MI 49855-2675 · (906) 225-3925 · Fax (906) 225-4838
Phone(906) 225-3925
Fax(906) 225-4838
Organization SubpartNo
Authorized OfficialMichael NidifferOwner · (906) 225-3925
Enumeration DateFebruary 1, 2008
✔ NPI 1346428315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in MI · 030113
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.
1414 W FAIR AVE, Marquette, MI 49855
Open in Google Maps ↗

Other Identifiers 2

Medicare UPINA77491
Medicaid3108394MI

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

Other Providers at the Same Location NPPES 20

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

MR. KIRK W MATTHEWS LMSW
Social Worker (Clinical)
1414 W FAIR AVE
MARQUETTE, MI 49855
Marquette County (906) 774-3300
MR. STEVEN M GUALDONI PAC
Physician Assistant
1414 W FAIR AVE, STE 332
MARQUETTE, MI 49855
Marquette County (906) 225-3922
PENINSULA PHARMACY INC
Pharmacy (Community/Retail Pharmacy)
1414 W FAIR AVE, SUITE 133
MARQUETTE, MI 49855
Marquette County (906) 225-3902
BOBBY Z JOSEPH M.D.
Allergy & Immunology
1414 W FAIR AVE, SUITE 216
MARQUETTE, MI 49855
Marquette County (906) 225-4725
NATHAN SAMUEL TAYLOR MD
Plastic Surgery (Surgery of the Hand)
1414 W FAIR AVE, SUITE 190
MARQUETTE, MI 49855
Marquette County (906) 225-1321
DR. PUSHPAMAL NAYANANGA SAMARARATNE MD
Student in an Organized Health Care Education/Training Program
1414 W FAIR AVE, SUITE 24
MARQUETTE, MI 49855
Marquette County (906) 225-3864
RODNEY RIESLAND NP
Nurse Practitioner (Primary Care)
1414 W FAIR AVE, STE 344
MARQUETTE, MI 49855
Marquette County (906) 225-3910
MANSOUR MIKY M.D.
Physical Medicine & Rehabilitation
1414 W FAIR AVE, SUITE 204
MARQUETTE, MI 49855
Marquette County (906) 225-7740

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 & Adolescent Healthcare Associates, PC's NPI number?

The NPI number for Pediatric & Adolescent Healthcare Associates, PC is 1346428315. It was assigned to this organization in the NPPES registry on February 1, 2008.

Where is Pediatric & Adolescent Healthcare Associates, PC located?

Pediatric & Adolescent Healthcare Associates, PC is located at 1414 W Fair Ave Suite 226, Marquette, MI 49855. The listed phone number is (906) 225-3925.

What is Pediatric & Adolescent Healthcare Associates, PC's specialty?

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

When was this NPI record last updated?

The NPPES record for Pediatric & Adolescent Healthcare Associates, PC was last updated on February 1, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.