OrganizationActive
Pediatric Staff PLLC
NPI 1922140912 · Specialist · Detroit, MI
Pediatric Staff PLLC is a Specialist organization in Detroit, MI (NPI 1922140912).
Provider details
- NPI number
- 1922140912
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Anne-Mare Ice, President(313) 255-2209
- License
- 031683 (MI)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
22341 W 8 Mile Rd
Detroit, MI 48219-1217
Phone: (313) 255-2209
Fax: (313) 255-0773
Street-level locationGet directions
Mailing address
22341 W 8 Mile Rd
Detroit, MI 48219-1217
Registry dates
- Enumerated
- 2007-02-13
- Last updated
- 2020-08-22
Frequently asked questions
- What is Pediatric Staff PLLC's NPI number?
- Pediatric Staff PLLC's National Provider Identifier (NPI) is 1922140912, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pediatric Staff PLLC?
- Pediatric Staff PLLC is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Pediatric Staff PLLC located?
- Pediatric Staff PLLC's practice location on file with NPPES is 22341 W 8 Mile Rd, Detroit, MI 48219-1217.
- What is Pediatric Staff PLLC's phone number?
- The practice phone number listed in the NPPES registry for Pediatric Staff PLLC is (313) 255-2209.
- Who is the authorized official for Pediatric Staff PLLC?
- The authorized official listed on Pediatric Staff PLLC's NPPES record is Anne-Mare Ice, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pediatric Staff PLLC's NPI active?
- Yes — Pediatric Staff PLLC's NPI (1922140912) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.