Active NPI
Patricia Abinoja, M.D.
- Pediatrics Physician
- Oak Park, MI
National Provider Identifier
1023108792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 4031032948
- Practice address
- 21040 Greenfield Rd
Oak Park, MI 48237-3025 - Phone
- (248) 967-6652
- Fax
- (248) 967-6518
- NPI assigned
- Oct 13, 2006
- Last updated
- Mar 2, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 4031032948 | MI | Primary |
Addresses
Primary practice location
21040 Greenfield Rd
Oak Park, MI 48237-3025
Mailing address
7700 2ND Ave
Detroit, MI 48202-2612
Phone (313) 202-8660
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5097146 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4031032948 | MI | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330646400000",
"number": "1023108792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7700 2ND AVE",
"city": "DETROIT",
"state": "MI",
"postal_code": "482022612",
"telephone_number": "313-202-8660",
"fax_number": "313-202-8653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21040 GREENFIELD RD",
"city": "OAK PARK",
"state": "MI",
"postal_code": "482373025",
"telephone_number": "248-967-6652",
"fax_number": "248-967-6518"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABINOJA",
"first_name": "PATRICIA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-13",
"last_updated": "2012-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MI",
"license": "4031032948",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5097146",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oak Park, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.