Organization Active NPI

Volna Clermont, M.D., P.C.

  • Pediatrics Physician
  • Detroit, MI
National Provider Identifier
1093848418
Registry record updated Dec 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
4301023027 Issued in MI
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

Updated by the provider on Dec 30, 2009

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)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
F42685OtherMIHEALTH PLAN OF MICHIGAN
F42685OtherMITOTAL HEALTH CARE
004687OtherMIDMC CARE
3508216771OtherMIBLUE CARE NETWORK
3508216771OtherMIBLUE CROSS BLUE SHIELD
103167OtherMIGREAT LAKES HEALTH PLAN
F42685OtherMIPPOM
101004720MedicaidMI
F42685OtherMIHEALTH CHOICE
F42685OtherMIMCLAREN HEALTH PLAN
F42685OtherMIAUTOMATED BENEFITS SERVIC
F42685OtherMIAETNA
F42685OtherMIMIDWEST HEALTH PLAN

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.