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SUMMIT OF DETROIT P.C. NPI 1558497008


NPI Information

NPI: 1558497008
Provider Name: SUMMIT OF DETROIT, P.C.
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
15801 W MCNICHOLS
DETROIT, MI
ZIP 48235
Phone: (313) 272-8450
Get Directions

SUMMIT OF DETROIT, P.C. is an obstetrics gynecology in Detroit, 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. SUMMIT OF DETROIT, P.C. NPI is 1558497008. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

15801 W MCNICHOLS
DETROIT, MI
ZIP 48235-543
Phone: (313) 272-8450
Fax: (313) 272-8455

The provider's authorized official is Anise L Burrell .
The authorized official title is Administrator and has the following contact phone number (313) 272-8450.

The enumeration date for this NPI number is 2/26/2007 and was last updated on 1/3/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1104100000XSocial Worker6801072558MICHIGANNo
2133V00000XDietitian, Registered861501MICHIGANNo
3163W00000XRegistered Nurse4704191117MICHIGANNo
4207V00000XObstetrics & Gynecology4301028327MICHIGANNo
5207V00000XObstetrics & Gynecology4301030345MICHIGANYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13802006439OTHERMICHIGANEIN
2160Q260450OTHERMICHIGANBCBSM
34404690OTHERMICHIGANSTATE OF MI MEDICAID

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: 4/28/2024

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