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Pediatric Staff Pllc

Specialist in Detroit, MI · enumerated 2007 · authorized official Anne-Mare Ice, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1922140912

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Registry record

Entity type Organization (Type 2)
Legal business name Pediatric Staff Pllc
Practice address 22341 W 8 Mile Rd, Detroit, MI, 48219
Phone (313) 255-2209
Fax (313) 255-0773
Enumeration date Feb 13, 2007
Last updated in NPPES Aug 22, 2020

Taxonomy & classification

174400000X Specialist Other Service Providers · License 031683 (MI) Primary

Authorized official

Name Anne-Mare Ice
Title President
Phone (313) 255-2209

Other identifiers

Identifier Type State Issuer
1066910 Medicaid MI -

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.

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Frequently asked questions

What is the NPI number for Pediatric Staff Pllc?
The NPI for Pediatric Staff Pllc is 1922140912, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Pediatric Staff Pllc?
NPPES lists Anne-Mare Ice (President) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.