FAIRFIELD PEDIATRICS PLLC - NPI 1710566310

Q: What is the provider's specialty?

The provider's specialty is Pediatrics with taxonomy code 208000000X.

On this page

About Fairfield Pediatrics Pllc NPPES

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

FAIRFIELD PEDIATRICS PLLC (NPI 1710566310) is a healthcare organization registered as a pediatrics in Wayne, Michigan and active in the NPI registry since April 2021. The organization holds a CLIA Waiver certificate valid through May 25, 2028 and lists Olufunke Adeyemo, Owner, as its authorized official.

NPPES Registry Identity

NPI1710566310

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameFAIRFIELD PEDIATRICS PLLC

Location Address3106 S WAYNE RDWayne, MI 48184-1221

Mailing Address3106 S Wayne RdWayne, MI 48184-1221 · (734) 351-3166

Phone(734) 351-3166

Fax(734) 309-7700

Organization SubpartNo

Authorized OfficialOlufunke AdeyemoOwner · (734) 351-3166

Enumeration DateApril 2, 2021

Last NPPES UpdateMay 16, 20222 updates tracked since enumeration

NPPES CertifiedApril 14, 2022

✔ NPI 1710566310 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.

3106 S WAYNE RD, Wayne, MI 48184

Open in Google Maps ↗

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 23D2261145

Fairfield Pediatrics · Wayne, MI

Active · expires May 25, 2028

CLIA Number23D2261145

Laboratory TypePhysician Office

Certificate Effective DateMay 26, 2026

Certificate Expiration DateMay 25, 2028

Laboratory DirectorOlufunke Adeyemo

Laboratory Phone(734) 351-3166

Laboratory LocationFairfield Pediatrics3106 S Wayne Rd, Wayne, MI 48184

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 7

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

MICHIGAN SURGICAL ASSOCIATES PLLC

Surgery