Active NPI
Volna Clermont, M.D., P.C.
- Pediatrics Physician
- Detroit, MI
National Provider Identifier
1093848418
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 4301023027
- Legal business name
- VOLNA CLERMONT, M.D., P.C.
- Practice address
- 2434 Puritan St
Detroit, MI 48238-1416 - Phone
- (313) 341-7000
- NPI assigned
- Mar 14, 2007
- 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. Volna Clermont, M.D.
- Title
- President
- Phone
- (313) 341-7000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 4301023027 | MI | Primary |
Addresses
Primary practice location
2434 Puritan St
Detroit, MI 48238-1416
Mailing address
2434 Puritan St
Detroit, MI 48238-1416
Phone (313) 341-7000
Other identifiers 13
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F42685 | Other | MI | HEALTH PLAN OF MICHIGAN |
| F42685 | Other | MI | TOTAL HEALTH CARE |
| 004687 | Other | MI | DMC CARE |
| 3508216771 | Other | MI | BLUE CARE NETWORK |
| 3508216771 | Other | MI | BLUE CROSS BLUE SHIELD |
| 103167 | Other | MI | GREAT LAKES HEALTH PLAN |
| F42685 | Other | MI | PPOM |
| 101004720 | Medicaid | MI | |
| F42685 | Other | MI | HEALTH CHOICE |
| F42685 | Other | MI | MCLAREN HEALTH PLAN |
| F42685 | Other | MI | AUTOMATED BENEFITS SERVIC |
| F42685 | Other | MI | AETNA |
| F42685 | Other | MI | MIDWEST HEALTH PLAN |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1262131200000",
"number": "1093848418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2434 PURITAN ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482381416",
"telephone_number": "313-341-7000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2434 PURITAN ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482381416",
"telephone_number": "313-341-7000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VOLNA CLERMONT, M.D., P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-14",
"last_updated": "2009-12-30",
"status": "A",
"authorized_official_last_name": "CLERMONT",
"authorized_official_first_name": "VOLNA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "313-341-7000",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "MI",
"license": "4301023027",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PLAN OF MICHIGAN",
"identifier": "F42685",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TOTAL HEALTH CARE",
"identifier": "F42685",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMC CARE",
"identifier": "004687",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CARE NETWORK",
"identifier": "3508216771",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "3508216771",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GREAT LAKES HEALTH PLAN",
"identifier": "103167",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PPOM",
"identifier": "F42685",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101004720",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH CHOICE",
"identifier": "F42685",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCLAREN HEALTH PLAN",
"identifier": "F42685",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AUTOMATED BENEFITS SERVIC",
"identifier": "F42685",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "F42685",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIDWEST HEALTH PLAN",
"identifier": "F42685",
"state": "MI"
}
],
"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 Dec 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.