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PEDIATRIC STAFF PLLC
NPI 1922140912
Specialist in Detroit, MI

Active since February 13, 2007
22341 W 8 MILE RD, DETROIT, MI 48219(313) 255-2209(313) 255-0773 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pediatric Staff Pllc NPPES

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

PEDIATRIC STAFF PLLC (NPI 1922140912) is a healthcare organization registered as a specialist in Detroit, Michigan and active in the NPI registry since February 2007. The organization lists Anne-mare Ice, President, as its authorized official.

NPPES Registry Identity

NPI1922140912
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NamePEDIATRIC STAFF PLLC
Location Address22341 W 8 MILE RDDetroit, MI 48219-1217
Mailing Address22341 W 8 Mile RdDetroit, MI 48219-1217 · (313) 255-2209 · Fax (313) 255-0773
Phone(313) 255-2209
Fax(313) 255-0773
Organization SubpartNo
Authorized OfficialAnne-mare IcePresident · (313) 255-2209
Enumeration DateFebruary 13, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1922140912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in MI · 031683
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.
22341 W 8 MILE RD, Detroit, MI 48219
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Other Identifiers 1

Medicaid1066910MI

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 16

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

MRS. HUEY-FONG LIANG NP
Family Medicine
22341 W 8 MILE RD
DETROIT, MI 48219
Wayne County (313) 255-2209
WILLIAM C. HEATH MD PC
Pediatrics (Adolescent Medicine)
22341 W 8 MILE RD
DETROIT, MI 48219
Wayne County (313) 255-4672
ROSE PEDIATRIC PC
Pediatrics (Adolescent Medicine)
22341 W 8 MILE RD
DETROIT, MI 48219
Wayne County (313) 255-2209
WASIF HAFEEZ MD
Internal Medicine (Infectious Disease)
22341 W 8 MILE RD, SECOND FLOOR POD 4
DETROIT, MI 48219
Wayne County (313) 592-3620
DR. KALPANA A CHOKSI MD
Pediatrics (Adolescent Medicine)
22341 W 8 MILE RD
DETROIT, MI 48219
Wayne County (313) 255-2209
VANIKA LATH MD
Internal Medicine (Rheumatology)
22341 W 8 MILE RD, STE 201
DETROIT, MI 48219
Wayne County (313) 966-3222
NORMA KHALIL ABDALLAH RPH
Pharmacist
22341 W 8 MILE RD
DETROIT, MI 48219
Wayne County (313) 533-1422
VITA FONTANA
Nurse Practitioner (Family)
22341 W 8 MILE RD
DETROIT, MI 48219
Wayne County (313) 499-3630

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 Staff PLLC's NPI number?

The NPI number for Pediatric Staff PLLC is 1922140912. It was assigned to this organization in the NPPES registry on February 13, 2007.

Where is Pediatric Staff PLLC located?

Pediatric Staff PLLC is located at 22341 W 8 Mile Rd, Detroit, MI 48219. The listed phone number is (313) 255-2209.

What is Pediatric Staff PLLC'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 Staff PLLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.