Active NPI
Kay Watnick MD PC
- Dermatology Physician
- West Bloomfield, MI
National Provider Identifier
1215102330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 4301403896
- Legal business name
- KAY WATNICK MD PC
- Practice address
- 6900 Orchard Lake Rd
Ste 209
West Bloomfield, MI 48322-3405 - Phone
- (248) 855-7500
- Fax
- (248) 855-5627
- NPI assigned
- Apr 29, 2008
- Last updated
- Jun 17, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kay Watnick, M.D.
- Title
- Owner/Physician
- Phone
- (248) 855-7500
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 4301403896 | MI | Primary |
Addresses
Primary practice location
6900 Orchard Lake Rd
Ste 209
West Bloomfield, MI 48322-3405
Mailing address
6900 Orchard Lake Road
Ste 209
West Bloomfield, MI 48322-3405
Phone (248) 855-7500
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Dermatology Physician
- West Bloomfield, MI
- NPI 1639123680
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209427200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213660800000",
"number": "1215102330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6900 ORCHARD LAKE ROAD",
"address_2": "STE 209",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "483223405",
"telephone_number": "248-855-7500",
"fax_number": "248-855-5627"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6900 ORCHARD LAKE RD",
"address_2": "STE 209",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "483223405",
"telephone_number": "248-855-7500",
"fax_number": "248-855-5627"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KAY WATNICK MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-29",
"last_updated": "2008-06-17",
"status": "A",
"authorized_official_last_name": "WATNICK",
"authorized_official_first_name": "KAY",
"authorized_official_title_or_position": "OWNER/PHYSICIAN",
"authorized_official_telephone_number": "248-855-7500",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "MI",
"license": "4301403896",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Bloomfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.