Individual provider Active NPI

Jason William Bihn, M.D.

  • Pediatrics Physician
  • Southgate, MI
National Provider Identifier
1154559177
Registry record updated Dec 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
4301110989 Issued in MI
Practice address
15350 Trenton Rd
Southgate, MI 48195-2027
Phone
(734) 283-4616
Fax
(734) 283-5430
NPI assigned
Jun 29, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 35.099525 OH
Pediatrics Physician 208000000X 4301110989 MI Primary

Addresses

Primary practice location

15350 Trenton Rd
Southgate, MI 48195-2027

Mailing address

15350 Trenton Rd
Southgate, MI 48195-2027
Phone (734) 283-4616

Other identifiers 1

IdentifierTypeStateIssuer
0068114MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301110989MIMDPediatrics Physician
35.099525OHMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Child and Adolescent Center P C Pediatrics PastSince Dec 15, 2019 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jbihn428504@direct.hfhs.org

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1246233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575849600000",
    "number": "1154559177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15350 TRENTON RD",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481952027",
            "telephone_number": "734-283-4616",
            "fax_number": "734-283-5430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15350 TRENTON RD",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481952027",
            "telephone_number": "734-283-4616",
            "fax_number": "734-283-5430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIHN",
        "first_name": "JASON",
        "middle_name": "WILLIAM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-29",
        "last_updated": "2019-12-09",
        "certification_date": "2019-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35.099525",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301110989",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0068114",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southgate, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2019; 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.