Organization Active NPI

Karmo Pediatric Center

  • Pediatric Adolescent Medicine Physician
  • Southfield, MI
National Provider Identifier
1013046655
Registry record updated Jun 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
Legal business name
KARMO PEDIATRIC CENTER
Practice address
26206 W 12 Mile Rd
Suite 106
Southfield, MI 48034-1754
Phone
(248) 354-1600
Fax
(248) 354-1604
NPI assigned
Mar 2, 2007
Organization subpart
Yes
Parent organization
VERNOR PEDIATRIC PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 10, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Teresa Ball
Title
CPC
Phone
(734) 839-6610

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X
Pediatric Adolescent Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080A0000X Primary

Addresses

Primary practice location

26206 W 12 Mile Rd
Suite 106
Southfield, MI 48034-1754

Mailing address

26206 W 12 Mile Rd
Suite 106
Southfield, MI 48034-1754
Phone (248) 354-1600

Other names 1

  • Vernor Pediatric PC Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D1034524Karmo Pediatric Center PC26206 W 12 Mile Road Suite 106, Southfield, MI 48034Certificate of waiverDec 5, 2026

National Provider Directory

National Provider Directory
Part of
Karmo Pediatric Center PC

Locations

26206 W 12 Mile Rd
Ste 106
Southfield, MI 48034
Phone (248) 354-1600

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623283200000",
    "number": "1013046655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26206 W 12 MILE RD",
            "address_2": "SUITE 106",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341754",
            "telephone_number": "248-354-1600",
            "fax_number": "248-354-1604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26206 W 12 MILE RD",
            "address_2": "SUITE 106",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341754",
            "telephone_number": "248-354-1600",
            "fax_number": "248-354-1604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KARMO PEDIATRIC CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VERNOR PEDIATRIC PC",
        "enumeration_date": "2007-03-02",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A",
        "authorized_official_last_name": "BALL",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "CPC",
        "authorized_official_telephone_number": "734-839-6610"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vernor Pediatric PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.