Active NPI
Eileen Hug, DO
- Pediatrics Physician
- Warren, MI
National Provider Identifier
1063466985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 5101011517
- Practice address
- 30205 Schoenherr Rd
Warren, MI 48088-6800 - Phone
- (586) 759-7510
- Fax
- (586) 759-7791
- NPI assigned
- May 22, 2006
- 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 | 5101011517 | MI | Primary |
Addresses
Primary practice location
30205 Schoenherr Rd
Warren, MI 48088-6800
Mailing address
3500 15 Mile Rd
Sterling Heights, MI 48310-5353
Phone (313) 829-8434
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4478649 | Medicaid | MI |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ehug17053@direct.hfhs.org | ||
| Direct Messaging Address | ehug17053@direct.hfhs.org | Henry Ford Health System |
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 Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bicounty Medical Practices | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Warren, MI
- NPI 1194806745
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615507200000",
"number": "1063466985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3500 15 MILE RD",
"city": "STERLING HEIGHTS",
"state": "MI",
"postal_code": "483105353",
"telephone_number": "313-829-8434",
"fax_number": "586-977-9932"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30205 SCHOENHERR RD",
"city": "WARREN",
"state": "MI",
"postal_code": "480886800",
"telephone_number": "586-759-7510",
"fax_number": "586-759-7791"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUG",
"first_name": "EILEEN",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-22",
"last_updated": "2021-03-12",
"certification_date": "2021-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MI",
"license": "5101011517",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4478649",
"state": "MI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ehug17053@direct.hfhs.org",
"affiliation": "N",
"address_1": "3500 15 Mile Rd",
"city": "Sterling Heights",
"state": "MI",
"country_code": "US",
"postal_code": "483105353",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ehug17053@direct.hfhs.org",
"affiliation": "Y",
"affiliationName": "Henry Ford Health System",
"address_1": "3500 15 Mile Rd",
"city": "Sterling Heights",
"state": "MI",
"country_code": "US",
"postal_code": "483105353",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Warren, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.