Wyandotte Medical Practices

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

5101015620 Issued in MI

Legal business name

WYANDOTTE MEDICAL PRACTICES

Practice address

3851 West Rd
Suite 1
Trenton, MI 48183-2350

Phone

(734) 671-3248

Fax

(734) 671-1819

NPI assigned

Jul 23, 2007

Last updated

Jul 23, 2007By the provider in NPPES

Organization subpart

Yes

Parent organization

WYANDOTTE MEDICAL PRACTICESAs reported in NPPES

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

Authorized official

Name

John Kibble

Title

Director

Phone

(313) 874-3436

Specialties & licenses 1

Addresses

Part of

Wyandotte Medical Practices

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

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185148800000",
    "number": "1013117670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 BIDDLE ST",
            "address_2": "SUITE C",
            "city": "WYANDOTTE",
            "state": "MI",
            "postal_code": "481926284",
            "telephone_number": "734-671-3248",
            "fax_number": "734-671-1819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3851 WEST RD",
            "address_2": "SUITE 1",
            "city": "TRENTON",
            "state": "MI",
            "postal_code": "481832350",
            "telephone_number": "734-671-3248",
            "fax_number": "734-671-1819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYANDOTTE MEDICAL PRACTICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WYANDOTTE MEDICAL PRACTICES",
        "enumeration_date": "2007-07-23",
        "last_updated": "2007-07-23",
        "status": "A",
        "authorized_official_last_name": "KIBBLE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "313-874-3436"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "5101015620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renee Marie Worrell, MSN, CNM
• Worthy Counseling Services, LLC
• Candice Worthy, LPC,NCC
• Owusua Yena Wosornu, RPH
• Xiang Yu Wu, DO
• Wyandotte Medical Practices (Riverside Family Physicians)
• Sarah Yahfoufi, DO
• Tyler Zachary Yates, DO
• Sara J Young, NP
• Saba Zafar, D.O.

• Obstetrics & Gynecology Physician in Trenton, MI
• Providers in Trenton, MI by specialty
• Obstetrics & Gynecology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.