Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1952502213 Individual Practitioner Female Practitioner

Dr. Lisa Whitehead , MD

Pediatrics • Ann Arbor, MI

Professional Overview & Biography Verified Profile Summary

Dr. Lisa Whitehead, MD is a registered healthcare professional specializing in Pediatrics in Ann Arbor, MI. Practice services are available at 4200 WHITEHALL DR STE 230 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4200 Whitehall Dr Ste 230

Ann Arbor, MI 481059694

Telephone 7347693896
Fax 7347693746
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Ann Arbor, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.1 Yrs
State Avg: 25.7 Yrs
Regional Practice Density
179 Specialists

Practicing in Ann Arbor, MI (2263 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License MI 4301115085

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.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License MD D0072297

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
044096500 (MD)

Secondary Practice Locations

1475 Taney Ave

Frederick, MD 217024747

Phone: 3306620133

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

11 Associated Practitioners
Katlyn Roberts , RN, MSN, CPNP

Nurse Practitioner - Pediatrics

NPI 1114550506

Registered Nurse, Master of Science in Nursing, Certified Pediatric Nurse Practitioner

Susan Slavik

Nurse Practitioner - Pediatrics

NPI 1184573917
NPI 1316914906

Doctor of Medicine (M.D.)

NPI 1588782056

Doctor of Medicine (M.D.)

NPI 1629431028

Doctor of Medicine (M.D.)

Geraldine Bourlier , CNP

Nurse Practitioner - Pediatrics

NPI 1659422871

Certified Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location June 27, 2018

Registered at 4200 WHITEHALL DR STE 230, ANN ARBOR, MI 481059694 (Tel: 7347693896)

📍
Updated Business Mailing Address June 27, 2018

Registered at 24 FRANK LLOYD WRIGHT DR STE J2000, ANN ARBOR, MI 481059484 (Tel: 7347476766)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 27, 2018

Pediatrics (License #4301115085 in MI)

NPI Profile Active April 24, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location April 24, 2012

Registered at 1475 TANEY AVE, FREDERICK, MD 217024747 (Tel: 3306620133)

📍
Updated Business Mailing Address April 24, 2012

Registered at 1475 TANEY AVE, FREDERICK, MD 217024747 (Tel: 3306620133)

👤
Provider Name / Credentials Updated April 24, 2012

Recorded as LISA WHITEHEAD, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 24, 2012

Pediatrics (License #D0072297 in MD)

🟢
Initial NPI Registration & Enumeration May 31, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1952502213
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 31, 2007
Last Update: June 27, 2018
Sole Proprietor: No

Mailing Address

24 Frank Lloyd Wright Dr Ste J2000

Ann Arbor, MI 481059484

Phone: 7347476766

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.