Active NPI
Associates in Obstetrics and Gynecology PC
- Obstetrics & Gynecology Physician
- Novi, MI
National Provider Identifier
1114901782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- ASSOCIATES IN OBSTETRICS AND GYNECOLOGY PC
- Practice address
- 26850 Providence Pkwy
Suite 315
Novi, MI 48374-1213 - Phone
- (248) 465-4340
- Fax
- (248) 465-4341
- NPI assigned
- Dec 6, 2005
- 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
- Marcie Henson
- Title
- Office Manager
- Phone
- (248) 465-4340
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | Primary |
Addresses
Primary practice location
26850 Providence Pkwy
Suite 315
Novi, MI 48374-1213
Mailing address
26850 Providence Pkwy
Suite 315
Novi, MI 48374-1213
Phone (248) 465-4340
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 160F301520 | Other | MI | BLUE CROSS |
| 4495560 | Medicaid | MI |
National Provider Directory
National Provider DirectoryLocations
25500 Meadowbrook Rd
Ste 120
Novi, MI 48375
Phone (248) 465-4340
Interoperability endpoints
- https://api.platform.athenahealth.com/26060/brand/7/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Novi, MI
- NPI 1912589961
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133827200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1439337600000",
"number": "1114901782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26850 PROVIDENCE PKWY",
"address_2": "SUITE 315",
"city": "NOVI",
"state": "MI",
"postal_code": "483741213",
"telephone_number": "248-465-4340",
"fax_number": "248-465-4341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26850 PROVIDENCE PKWY",
"address_2": "SUITE 315",
"city": "NOVI",
"state": "MI",
"postal_code": "483741213",
"telephone_number": "248-465-4340",
"fax_number": "248-465-4341"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASSOCIATES IN OBSTETRICS AND GYNECOLOGY PC",
"organizational_subpart": "NO",
"enumeration_date": "2005-12-06",
"last_updated": "2015-08-12",
"status": "A",
"authorized_official_last_name": "HENSON",
"authorized_official_first_name": "MARCIE",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "248-465-4340"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "160F301520",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4495560",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Novi, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.