Individual provider Active NPI

John W Armstead, M.D.

  • Obstetrics & Gynecology Physician
  • Wayne, MI
National Provider Identifier
1013967819
Registry record updated Apr 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
JA050190 Issued in MI
Practice address
4020 Venoy Rd
Suite 400
Wayne, MI 48184-1869
Phone
(734) 326-5000
Fax
(734) 326-0102
NPI assigned
May 11, 2006
Last updated
Apr 23, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X JA050190 MI Primary

Addresses

Primary practice location

4020 Venoy Rd
Suite 400
Wayne, MI 48184-1869

Mailing address

4020 Venoy Rd
Suite 400
Wayne, MI 48184-1869
Phone (734) 326-5000

Other identifiers 1

IdentifierTypeStateIssuer
2654999MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040407000741 MI Practitioner - Obstetrics/Gynecology 9032102785 Practice locations: Southfield, MI

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
JA050190MIMDObstetrics & Gynecology Physician

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271980800000",
    "number": "1013967819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4020 VENOY RD",
            "address_2": "SUITE 400",
            "city": "WAYNE",
            "state": "MI",
            "postal_code": "481841869",
            "telephone_number": "734-326-5000",
            "fax_number": "734-326-0102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4020 VENOY RD",
            "address_2": "SUITE 400",
            "city": "WAYNE",
            "state": "MI",
            "postal_code": "481841869",
            "telephone_number": "734-326-5000",
            "fax_number": "734-326-0102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARMSTEAD",
        "first_name": "JOHN",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2010-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "JA050190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2654999",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, MI

Sources for this page

Verify at the official NPI Registry.