NPIMap

Organization Active NPI

Cassandra M. Klyman, M.D.,P.C.

  • Medical Specialty Clinic/Center
  • Bloomfield Hills, MI
National Provider Identifier
1023294782
Registry record updated Jan 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
1403025565 Issued in MI
Legal business name
CASSANDRA M. KLYMAN, M.D.,P.C.
Practice address
3060 Chickering LN
Bloomfield Hills, MI 48302-1408
Phone
(248) 335-7194
NPI assigned
Jan 12, 2008
Last updated
Jan 12, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2008

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

Authorized official

Name
Dr. Cassandra M Klyman, M.D.NPI 1649226234
Title
President
Phone
(248) 335-7194

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 1403025565 MI Primary

Addresses

Primary practice location

3060 Chickering LN
Bloomfield Hills, MI 48302-1408

Mailing address

3060 Chickering LN
Bloomfield Hills, MI 48302-1408
Phone (248) 335-7194

Other identifiers 4

IdentifierTypeStateIssuer
024155OtherMIP.C. ID#
170509OtherDMC
0635036OtherMIBCBS
021204OtherMIVALUE OPTIONS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1200096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200096000000",
    "number": "1023294782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3060 CHICKERING LN",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483021408",
            "telephone_number": "248-335-7194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3060 CHICKERING LN",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483021408",
            "telephone_number": "248-335-7194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASSANDRA M. KLYMAN, M.D.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-12",
        "last_updated": "2008-01-12",
        "status": "A",
        "authorized_official_last_name": "KLYMAN",
        "authorized_official_first_name": "CASSANDRA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-335-7194",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "MI",
            "license": "1403025565",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "P.C. ID#",
            "identifier": "024155",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMC",
            "identifier": "170509",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0635036",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "021204",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2008; 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.