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DAVISON PEDIATRICS PC
NPI 1609165646
Pediatrics in Davison, MI

Active since March 30, 2011CLIA 23D0901391 · Waiver
1260 N IRISH RD, STE A, DAVISON, MI 48423(810) 658-9550(810) 658-2202 Get Directions Write a Review

NPPES record last updated: March 30, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Davison Pediatrics Pc NPPES

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

DAVISON PEDIATRICS PC (NPI 1609165646) is a healthcare organization registered as a pediatrics in Davison, Michigan and active in the NPI registry since March 2011. The organization holds a CLIA Waiver certificate valid through May 22, 2027 and lists Kamal Hasan, Owner, as its authorized official.

NPPES Registry Identity

NPI1609165646
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameDAVISON PEDIATRICS PC
Location Address1260 N IRISH RD, STE ADavison, MI 48423-2276
Mailing Address1260 N Irish Rd, Ste ADavison, MI 48423-2276 · (810) 658-9550 · Fax (810) 658-2202
Phone(810) 658-9550
Fax(810) 658-2202
Organization SubpartNo
Authorized OfficialKamal HasanOwner · (810) 658-9550
Enumeration DateMarch 30, 2011
✔ NPI 1609165646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MI · 4301063221
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.
1260 N IRISH RD, Davison, MI 48423
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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 Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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 23D0901391

Davison Pediatrics · Davison, MI
Active · expires May 22, 2027
CLIA Number23D0901391
Laboratory TypePhysician Office
Certificate Effective DateMay 23, 2025
Certificate Expiration DateMay 22, 2027
Laboratory DirectorKamal Hasan
Laboratory Phone(810) 658-9550
Laboratory LocationDavison Pediatrics1260 N Irish Road Suite A, Davison, MI 48423
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

POOJA PATEL PA-C
Physician Assistant
1260 N IRISH RD
DAVISON, MI 48423
Genesee County (810) 653-0899
MOHAMMED A SALEEM MD
Internal Medicine
1260 N IRISH RD, STE C
DAVISON, MI 48423
Genesee County (810) 653-1400
DR. KAMAL S HASAN MD
Pediatrics
1260 N IRISH RD, SUITE A
DAVISON, MI 48423
Genesee County (810) 658-9550
M SALEEM MD PC
Internal Medicine
1260 N IRISH RD
DAVISON, MI 48423
Genesee County (810) 653-1400
DR. PEGGY ANN URSUY PHD, RN, PPCNP-BC
Nurse Practitioner (Pediatrics)
1260 N IRISH RD
DAVISON, MI 48423
Genesee County (810) 653-1910

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 Davison Pediatrics PC's NPI number?

The NPI number for Davison Pediatrics PC is 1609165646. It was assigned to this organization in the NPPES registry on March 30, 2011.

Where is Davison Pediatrics PC located?

Davison Pediatrics PC is located at 1260 N Irish Rd Ste A, Davison, MI 48423. The listed phone number is (810) 658-9550.

What is Davison Pediatrics PC's specialty?

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

Does Davison Pediatrics PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D0901391) is associated with this NPI, valid through May 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Davison Pediatrics 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 Davison Pediatrics 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 Davison Pediatrics PC was last updated on March 30, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.