Pediatrics PC
Pediatrics PC is a healthcare organization registered as Pediatrics Physician in Portage, MI, holding Type 2 (organization) NPI 1265421069 since 2005. The authorized official on file is Stephen Lull, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1265421069 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Pediatrics PC |
| Practice address | 670 MALL DR, Portage, MI, 49024 |
| Phone | 2693271900 |
| Fax | 2693271564 |
| Enumeration date | 2005-10-14 |
| Last updated in NPPES | 2020-08-22 |
Authorized official
| Name | Stephen Lull |
|---|---|
| Title | President |
| Phone | 2693271900 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 208000000X | Pediatrics Physician | Primary | — | — |
Copy-ready billing details
Provider: Pediatrics PC NPI: 1265421069 Taxonomy: 208000000X (Pediatrics Physician) Address: 670 MALL DR, Portage, MI, 49024
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1639177983 | Ann Sheehan | Individual | Pediatric Nurse Practitioner | Portage, MI |
| 1033199674 | Randall Dyk | Individual | Pediatrics Physician | Portage, MI |
| 1437129095 | David Ohmart | Individual | Pediatrics Physician | Portage, MI |
| 1952371593 | Stephen Lull | Individual | Pediatrics Physician | Portage, MI |
| 1649240292 | Mark Blazek | Individual | Pediatrics Physician | Portage, MI |
| 1801867106 | Kathleen Lemmen | Individual | Pediatrics Physician | Portage, MI |
| 1275643223 | Sandra Wiederhold | Individual | Pediatrics Physician | Portage, MI |
| 1720341951 | Justine Bunka | Individual | Pediatrics Physician | Portage, MI |
Verify this record
Cross-check NPI 1265421069 against the authoritative CMS record: view Pediatrics PC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Pediatrics PC?
What is the NPI number for Pediatrics PC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.