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PORT CITY PEDIATRICS
NPI 1558413245
Pediatrics in Norton Shores, MI

Active since January 16, 2007CLIA 23D0677273 · Waiver
1455 FARR ROAD, NORTON SHORES, MI 49444(231) 737-0411(231) 739-8502 Get Directions Write a Review

NPPES record last updated: April 7, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Port City Pediatrics NPPES

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

PORT CITY PEDIATRICS (NPI 1558413245) is a healthcare organization registered as a pediatrics in Norton Shores, Michigan and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through September 26, 2026 and lists Richard J Golz, President, as its authorized official.

NPPES Registry Identity

NPI1558413245
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NamePORT CITY PEDIATRICS
Location Address1455 FARR ROADNorton Shores, MI 49444
Mailing Address1455 Farr RoadNorton Shores, MI 49444 · (231) 737-0411 · Fax (231) 739-8502
Phone(231) 737-0411
Fax(231) 739-8502
Organization SubpartNo
Authorized OfficialRichard J GolzPresident · (231) 737-0411
Enumeration DateJanuary 16, 2007
Last NPPES UpdateApril 7, 2020
NPPES CertifiedApril 7, 2020
✔ NPI 1558413245 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.
1455 FARR ROAD, Norton Shores, MI 49444
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.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 23D0677273

Port City Pediatrics, Plc · Norton Shores, MI
Active · expires Sep 26, 2026
CLIA Number23D0677273
Laboratory TypePhysician Office
Certificate Effective DateSeptember 27, 2024
Certificate Expiration DateSeptember 26, 2026
Laboratory DirectorRichard J. Golz
Laboratory Phone(231) 220-2245
Laboratory LocationPort City Pediatrics, Plc1455 Farr Road, Norton Shores, MI 49444
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Port City Pediatrics's NPI number?

The NPI number for Port City Pediatrics is 1558413245. It was assigned to this organization in the NPPES registry on January 16, 2007.

Where is Port City Pediatrics located?

Port City Pediatrics is located at 1455 Farr Road, Norton Shores, MI 49444. The listed phone number is (231) 737-0411.

What is Port City Pediatrics's specialty?

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

Does Port City Pediatrics hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D0677273) is associated with this NPI, valid through September 26, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Port City Pediatrics accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Port City Pediatrics 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 Port City Pediatrics was last updated on April 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.