Active NPI
Children's Hospital of Michigan
- Urgent Care Clinic/Center
- Detroit, MI
National Provider Identifier
1063767713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- License
- 5301007841
- Legal business name
- CHILDREN'S HOSPITAL OF MICHIGAN
- Practice address
- 3901 Beaubien St
Detroit, MI 48201-2119 - Phone
- (313) 745-5437
- NPI assigned
- Jul 18, 2012
- Last updated
- Mar 7, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Keisuke Ueda, M.D.
- Title
- Pediatric Resident
- Phone
- (586) 532-3410
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | 5301007841 | MI | Primary |
Addresses
Primary practice location
3901 Beaubien St
Detroit, MI 48201-2119
Mailing address
3901 Beaubien St
Detroit, MI 48201-2119
Phone (313) 745-5437
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342569600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1362614400000",
"number": "1063767713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3901 BEAUBIEN ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482012119",
"telephone_number": "313-745-5437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3901 BEAUBIEN ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482012119",
"telephone_number": "313-745-5437"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHILDREN'S HOSPITAL OF MICHIGAN",
"organizational_subpart": "NO",
"enumeration_date": "2012-07-18",
"last_updated": "2013-03-07",
"status": "A",
"authorized_official_last_name": "UEDA",
"authorized_official_first_name": "KEISUKE",
"authorized_official_title_or_position": "PEDIATRIC RESIDENT",
"authorized_official_telephone_number": "586-532-3410",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": "MI",
"license": "5301007841",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.