Professional OBGYN PC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

PROFESSIONAL OBGYN PC

Practice address

20276 Middlebelt Rd
Suite 2
Livonia, MI 48152-2054

Phone

(248) 476-4900

Fax

(248) 476-5435

NPI assigned

Dec 28, 2006

Last updated

Aug 15, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Roger Kushner, DONPI 1962467621

Title

President

Phone

(248) 476-4900

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Roger Matthew Kushner, D.O.

  • Obstetrics Physician
  • Livonia, MI
  • NPI 1962467621
  Authorized official Same address or phone

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344988800000",
    "number": "1144386053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20276 MIDDLEBELT RD STE 2",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481522054",
            "telephone_number": "248-476-4900",
            "fax_number": "248-476-5435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20276 MIDDLEBELT RD",
            "address_2": "SUITE 2",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481522054",
            "telephone_number": "248-476-4900",
            "fax_number": "248-476-5435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL OBGYN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2012-08-15",
        "status": "A",
        "authorized_official_last_name": "KUSHNER",
        "authorized_official_first_name": "ROGER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-476-4900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP PIN",
            "identifier": "0H24970",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Professional Counseling and Psychiatry Solutions, PLLC
• Professional Dental Alliance of Michigan LLC
• Professional Dental Alliance of Michigan, LLC (Dental Care of Michigan, Livonia)
• Professional Medical Group MD PC
• Professional Medical Group MD PC
• Professional Preventive Restoration & Consultant Services
• Progressive Behavioral Home Health Care PLC
• Progressive Home Care Services
• Progressive Homecare Systems Inc
• Progressive Neuro-Psychiatry, P.C.

• Obstetrics & Gynecology Physician in Livonia, MI
• Providers in Livonia, MI by specialty
• Obstetrics & Gynecology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2012; 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.