Active NPI
Karmo Pediatric Center
- Pediatric Adolescent Medicine Physician
- Southfield, MI
National Provider Identifier
1013046655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Adolescent Medicine Physician
- 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 PC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | |||
| Pediatric Adolescent Medicine Physician | 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
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D1034524 | Karmo Pediatric Center PC | Certificate of waiver | Dec 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.
-
- Pediatrics Physician
- Southfield, MI
- NPI 1659342376
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.