Advanced Gynecology Specialists of Mi PC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

OK0348 Issued in MI

Legal business name

ADVANCED GYNECOLOGY SPECIALISTS OF MI PC

Practice address

44038 Woodward Avenue
Suite 201
Bloomfield Hills, MI 48302-5037

Phone

(248) 338-6611

Fax

(248) 338-4742

NPI assigned

Aug 15, 2006

Last updated

Aug 22, 2020By 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. Othman Kadry, MDNPI 1144233875

Title

Physician

Phone

(248) 338-6611

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Othman Kadry, MD

  • Obstetrics & Gynecology Physician
  • Bloomfield Hills, MI
  • NPI 1144233875
  Authorized official Same address or phone
• Ted Miklas, M.D.

  • Internal Medicine Physician
  • Bloomfield Hills, MI
  • NPI 1891712873
  NPD (past)

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205949450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44038 WOODWARD AVENUE",
            "address_2": "SUITE 201",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483025037",
            "telephone_number": "248-338-6611",
            "fax_number": "248-338-4742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44038 WOODWARD AVENUE",
            "address_2": "SUITE 201",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483025037",
            "telephone_number": "248-338-6611",
            "fax_number": "248-338-4742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED GYNECOLOGY SPECIALISTS OF MI PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KADRY",
        "authorized_official_first_name": "OTHMAN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "248-338-6611",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "OK0348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Obstetrics & Gynecology Physician in Bloomfield Hills, MI
• Providers in Bloomfield Hills, 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 22, 2020; 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.