Vernor Pediatric PC

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

NK069655 Issued in MI

Legal business name

VERNOR PEDIATRIC PC

Practice address

4607 W Vernor Hwy
Detroit, MI 48209-2117

Phone

(313) 554-3300

Fax

(313) 554-3303

NPI assigned

Apr 10, 2018

Organization subpart

Yes

Parent organization

KARMO PEDIATRIC CENTERAs reported in NPPES

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

Authorized official

Name

Teresa Ball

Title

CPC

Phone

(734) 839-6610

Specialties & licenses 1

Addresses

Other names 1

• Karmo Pediatric Center Former legal business name

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Karmo Pediatric Center PC

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eva A Karmo, DDS

  • General Practice Dentistry
  • Detroit, MI
  • NPI 1225131881
  NPD (past)
• Nibras Karmo, M.D.

  • Pediatrics Physician
  • Southfield, MI
  • NPI 1659342376
  NPD (past)

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

{
    "created_epoch": "1523318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623283200000",
    "number": "1073010625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26206 W 12 MILE RD STE 106",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341799",
            "telephone_number": "248-354-1600",
            "fax_number": "248-354-1604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4607 W VERNOR HWY",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482092117",
            "telephone_number": "313-554-3300",
            "fax_number": "313-554-3303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERNOR PEDIATRIC PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KARMO PEDIATRIC CENTER",
        "enumeration_date": "2018-04-10",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A",
        "authorized_official_last_name": "BALL",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "CPC",
        "authorized_official_telephone_number": "734-839-6610"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "MI",
            "license": "NK069655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Karmo Pediatric Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Vernor Group & Associated Inc
• Vernor Health Center PC
• Vernor M (Vernor M, INC / Vernor Medical)
• Vernor MC Inc
• Vernor Medical Center, PC
• Vernor Pharmacy PLLC
• Vernor Urgent Care PLLC
• Vernor Urgent Care PLLC
• Eric B Vertin, PHARMD
• Vesprini Chiropractic Life Center, PLLC

• Pediatric Adolescent Medicine Physician in Detroit, MI
• Providers in Detroit, MI by specialty
• Pediatric Adolescent Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.