Individual provider Active NPI

Frederick Victor Minkow, MD

  • Orthopaedic Hand Surgery Physician
  • Bloomfield Hills, MI
National Provider Identifier
1033140959
Registry record updated Dec 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
License
FM026651 Issued in MI
Practice address
43700 Woodward Avenue
Suite 205
Bloomfield Hills, MI 48302-0561
Phone
(248) 332-8391
Fax
(248) 332-8525
NPI assigned
Jul 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Hand Surgery Physician 207XS0106X FM026651 MI Primary

Addresses

Primary practice location

43700 Woodward Avenue
Suite 205
Bloomfield Hills, MI 48302-0561

Mailing address

43700 Woodward Avenue
Suite 205
Bloomfield Hills, MI 48302-0561
Phone (248) 332-8391

Other identifiers 2

IdentifierTypeStateIssuer
4033162OtherMIAETNA
2006364692OtherMIBCBS OF MICHIGAN

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
FM026651MIMDOrthopaedic Hand Surgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196899200000",
    "number": "1033140959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43700 WOODWARD AVENUE",
            "address_2": "SUITE 205",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483020561",
            "telephone_number": "248-332-8391",
            "fax_number": "248-332-8525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43700 WOODWARD AVENUE",
            "address_2": "SUITE 205",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483020561",
            "telephone_number": "248-332-8391",
            "fax_number": "248-332-8525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINKOW",
        "first_name": "FREDERICK",
        "middle_name": "VICTOR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2007-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "MI",
            "license": "FM026651",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4033162",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MICHIGAN",
            "identifier": "2006364692",
            "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 Dec 6, 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.