Active NPI
Ralph D Pearlman MD PC
- Colon & Rectal Surgery Physician
- Southfield, MI
National Provider Identifier
1114140167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Colon & Rectal Surgery Physician
- License
- RP045454
- Legal business name
- RALPH D PEARLMAN MD PC
- Practice address
- 22250 Providence Dr Ste 702
Southfield, MI 48075-6215 - Phone
- (248) 557-9650
- Fax
- (248) 557-5033
- NPI assigned
- Apr 10, 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
- Ralph Pearlman, MD
- Title
- President
- Phone
- (248) 557-9650
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Colon & Rectal Surgery Physician | 208C00000X | RP045454 | MI | Primary |
Addresses
Primary practice location
22250 Providence Dr Ste 702
Southfield, MI 48075-6215
Mailing address
22250 Providence Dr Ste 702
Southfield, MI 48075-6215
Phone (248) 557-9650
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3194561 | Medicaid | MI |
National Provider Directory
National Provider DirectoryLocations
22250 Providence Dr
Ste 702
Southfield, MI 48075
Phone (248) 557-9650
22250 Providence Dr
Ste 606
Southfield, MI 48075
Phone (248) 443-1281
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176163200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1262908800000",
"number": "1114140167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22250 PROVIDENCE DR STE 702",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480756215",
"telephone_number": "248-557-9650",
"fax_number": "248-557-5033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22250 PROVIDENCE DR STE 702",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480756215",
"telephone_number": "248-557-9650",
"fax_number": "248-557-5033"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RALPH D PEARLMAN MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-10",
"last_updated": "2010-01-08",
"status": "A",
"authorized_official_last_name": "PEARLMAN",
"authorized_official_first_name": "RALPH",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "248-557-9650",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208C00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Colon & Rectal Surgery",
"state": "MI",
"license": "RP045454",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3194561",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.