Active NPI
Conrad a Kawel III M D P C
- Surgery Physician
- Livonia, MI
National Provider Identifier
1235406620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 4301050558
- Legal business name
- CONRAD A KAWEL III M D P C
- Practice address
- 20220 Farmington Rd
Livonia, MI 48152-1412 - Phone
- (248) 471-4600
- Fax
- (248) 471-4082
- NPI assigned
- Nov 29, 2011
- Last updated
- Nov 29, 2011
- 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
- Conrad A Kawel III, M.D.
- Title
- President
- Phone
- (248) 471-4600
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 4301050558 | MI | Primary |
Addresses
Primary practice location
20220 Farmington Rd
Livonia, MI 48152-1412
Mailing address
20220 Farmington Rd
Livonia, MI 48152-1412
Phone (248) 471-4600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 18636621001 | Medicaid | MI |
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.
-
- Surgery Physician
- Livonia, MI
- NPI 1740373299
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322524800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1322524800000",
"number": "1235406620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20220 FARMINGTON RD",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481521412",
"telephone_number": "248-471-4600",
"fax_number": "248-471-4082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20220 FARMINGTON RD",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481521412",
"telephone_number": "248-471-4600",
"fax_number": "248-471-4082"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CONRAD A KAWEL III M D P C",
"organizational_subpart": "NO",
"enumeration_date": "2011-11-29",
"last_updated": "2011-11-29",
"status": "A",
"authorized_official_last_name": "KAWEL",
"authorized_official_first_name": "CONRAD",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "248-471-4600",
"authorized_official_name_suffix": "III",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MI",
"license": "4301050558",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "18636621001",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Livonia, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.