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PARTRIDGE CREEK OBSTETRICS & GYNECOLOGYP.C. NPI 1023107604


NPI Information

NPI: 1023107604
Provider Name: PARTRIDGE CREEK OBSTETRICS & GYNECOLOGY,P.C.
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
19991 HALL RD
STE 105
MACOMB, MI
ZIP 48044
Phone: (586) 247-8609
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PARTRIDGE CREEK OBSTETRICS & GYNECOLOGY,P.C. is an obstetrics gynecology in Macomb, MI. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. PARTRIDGE CREEK OBSTETRICS & GYNECOLOGY,P.C. NPI is 1023107604. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

19991 HALL RD
STE 105
MACOMB, MI
ZIP 48044
Phone: (586) 247-8609
Fax: (586) 247-8615

The provider's authorized official is Rhonda L Kobold .
The authorized official title is President and has the following contact phone number (586) 247-8609.

The enumeration date for this NPI number is 10/12/2006 and was last updated on 4/4/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207V00000XObstetrics & Gynecology5101012054MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
14195400MEDICAIDMICHIGAN
24195410MEDICAIDMICHIGAN
3G76853MEDICARE UPINMICHIGAN
40M97990MEDICARE ID-TYPE UNSPECIFIEDMICHIGAN
5F58030MEDICARE UPINMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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