NPIMap

Organization Active NPI

Detroit Medical Center

  • General Acute Care Hospital
  • Detroit, MI
National Provider Identifier
1174837686
Registry record updated Aug 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
4301096895 Issued in MI
Legal business name
DETROIT MEDICAL CENTER
Practice address
4201 St. Antoine- 6G Uhc
6G Uhc
Detroit, MI 48201
Phone
(313) 993-2529
NPI assigned
Jul 27, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2010

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

Authorized official

Name
Dr. Robert Wahl, M.D.
Title
Residency Director
Phone
(313) 993-2529

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 4301096895 MI Primary

Addresses

Primary practice location

4201 St. Antoine- 6G Uhc
6G Uhc
Detroit, MI 48201

Mailing address

18840 Roseland Blvd
Lathrup Village, MI 48076-5913
Phone (248) 229-6654

National Provider Directory

National Provider Directory
Tax ID family
Detroit Medical Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1280188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281052800000",
    "number": "1174837686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18840 ROSELAND BLVD",
            "city": "LATHRUP VILLAGE",
            "state": "MI",
            "postal_code": "480765913",
            "telephone_number": "248-229-6654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 ST. ANTOINE- 6G UHC",
            "address_2": "6G UHC",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48201",
            "telephone_number": "313-993-2529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DETROIT MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-27",
        "last_updated": "2010-08-06",
        "status": "A",
        "authorized_official_last_name": "WAHL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "RESIDENCY DIRECTOR",
        "authorized_official_telephone_number": "313-993-2529",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "MI",
            "license": "4301096895",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 6, 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.

Verify at the official NPI Registry.