NPIMap

Organization Active NPI

Nicole Sapiro Vinckier

  • Physician Assistant
  • Birmingham, MI
National Provider Identifier
1174976740
Registry record updated Jul 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601007743 Issued in MI
Legal business name
NICOLE SAPIRO VINCKIER
Practice address
35046 Woodward Ave
Ste 100
Birmingham, MI 48009-0964
Phone
(248) 647-9860
Fax
(248) 647-9864
NPI assigned
Jul 19, 2016
Organization subpart
Yes
Parent organization
GENERATIONS OB-GYNAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 19, 2016

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

Authorized official

Name
Mr. John R Sanborn, M.D.NPI 1003897323
Title
Co-Owner Authorized Official
Phone
(248) 647-9860

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363A00000X 5601007743 MI Primary

Addresses

Primary practice location

35046 Woodward Ave
Ste 100
Birmingham, MI 48009-0964

Mailing address

1307 Webster St
Birmingham, MI 48009-7090
Phone (818) 726-3262

National Provider Directory

National Provider Directory
Tax ID family
Generations OB GYN Centers2 organizations share this tax ID, including this one
Part of
Generations OB GYN Centers

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1468886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468886400000",
    "number": "1174976740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 WEBSTER ST",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480097090",
            "telephone_number": "818-726-3262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35046 WOODWARD AVE",
            "address_2": "STE 100",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480090964",
            "telephone_number": "248-647-9860",
            "fax_number": "248-647-9864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICOLE SAPIRO VINCKIER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GENERATIONS OB-GYN",
        "enumeration_date": "2016-07-19",
        "last_updated": "2016-07-19",
        "status": "A",
        "authorized_official_last_name": "SANBORN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CO-OWNER AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "248-647-9860",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601007743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2016; 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.