PEDIATRIC CARE CORNER PC
NPI 1508864687
Pediatrics - Adolescent Medicine in W Bloomfield, MI

Active since July 12, 2005CLIA 23D0953888 · Waiver
2300 HAGGERTY RD, SUITE 2110, W BLOOMFIELD, MI 48323(248) 926-1411(248) 926-5338 Get Directions Write a Review

NPPES record last updated: October 16, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pediatric Care Corner Pc NPPES

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

PEDIATRIC CARE CORNER PC (NPI 1508864687) is a healthcare organization registered as an adolescent medicine in W Bloomfield, Michigan and active in the NPI registry since July 2005. The organization holds a CLIA Waiver certificate valid through December 31, 2026 and lists Constance Rowley, Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1508864687
Entity TypeOrganization
Primary Taxonomy2080A0000X
Legal Business NamePEDIATRIC CARE CORNER PC
Location Address2300 HAGGERTY RD, SUITE 2110W Bloomfield, MI 48323-2184
Mailing AddressPo Box 33321, Drawer 95Detroit, MI 48232-5321 · (248) 926-1411 · Fax (248) 926-5338
Fax(248) 926-5338
Organization SubpartNo
Authorized OfficialConstance RowleyOwner/physician · (248) 926-1411
Enumeration DateJuly 12, 2005
Last NPPES UpdateOctober 16, 2007
NPI 1508864687 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
License Licensed in MI · CR010295
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
2300 HAGGERTY RD, W Bloomfield, MI 48323

Other Identifiers 2

Medicare PIN0N96030MI
Other350F375630MI · Bcbc Bcn

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

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 23D0953888

Pediatric Care Corner, PC · West Bloomfield, MI
Active · expires Dec 31, 2026
CLIA Number23D0953888
Laboratory TypePhysician Office
Certificate Effective DateJanuary 1, 2025
Certificate Expiration DateDecember 31, 2026
Laboratory DirectorHelen S. Economy
Laboratory Phone(248) 926-1411
Laboratory LocationPediatric Care Corner, PC2300 Haggerty Road Suite 2110, West Bloomfield, MI 48323
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 20

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

Physician Assistant
2300 HAGGERTY RD
WEST BLOOMFIELD, MI 48323
Internal Medicine (Infectious Disease)
2300 HAGGERTY RD, SUITE 1190
WEST BLOOMFIELD, MI 48323
Orthopaedic Surgery
2300 HAGGERTY RD, SUITE 1110
WEST BLOOMFIELD, MI 48323
Obstetrics & Gynecology (Gynecology)
2300 HAGGERTY RD, STE 2070
WEST BLOOMFIELD, MI 48323
Registered Nurse
2300 HAGGERTY RD
WEST BLOOMFIELD, MI 48323
Orthopaedic Surgery
2300 HAGGERTY RD, SUITE 1110
WEST BLOOMFIELD, MI 48323
Dentist (Oral and Maxillofacial Surgery)
2300 HAGGERTY RD, SUITE 2030
WEST BLOOMFIELD, MI 48323
Dentist (General Practice)
2300 HAGGERTY RD, SUITE 1170
WEST BLOOMFIELD, MI 48323

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 Care Corner PC's NPI number?

The NPI number for Pediatric Care Corner PC is 1508864687. It was assigned to this organization in the NPPES registry on July 12, 2005.

Where is Pediatric Care Corner PC located?

Pediatric Care Corner PC is located at 2300 Haggerty Rd Suite 2110, W Bloomfield, MI 48323. The listed phone number is (248) 926-1411.

What is Pediatric Care Corner PC's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Does Pediatric Care Corner PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D0953888) is associated with this NPI, valid through December 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Pediatric Care Corner PC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Pediatric Care Corner 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 Pediatric Care Corner PC was last updated on October 16, 2007. 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.