Detroit Medical Clinic PC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

4301071164 Issued in MI

Legal business name

DETROIT MEDICAL CLINIC PC

Practice address

4059 W Davison
Detroit, MI 48238-3262

Phone

(313) 491-5400

Fax

(313) 491-8123

NPI assigned

Jul 28, 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

Alex-Abbey Akinwumi, MDNPI 1144244708

Title

President

Phone

(313) 491-5400

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Alex-Abbey Akin-Wumi, MD

  • Internal Medicine Physician
  • Detroit, MI
  • NPI 1144244708
  Authorized official Same address or phone

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245244110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4059 W . DAVISON",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48238",
            "telephone_number": "313-491-5400",
            "fax_number": "313-491-8123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4059 W DAVISON",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482383262",
            "telephone_number": "313-491-5400",
            "fax_number": "313-491-8123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DETROIT MEDICAL CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AKINWUMI",
        "authorized_official_first_name": "ALEX-ABBEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-491-5400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MI",
            "license": "4301071164",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4488126",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Detroit Medical Center Detroit Receiving Hospital (DMC Pharmacy DRH)
• Detroit Medical Center Detroit Receiving Hospital (DMC Pharmacy - Mail Service)
• Detroit Medical Center, Wayne State University, Detroit, Mi
• Detroit Medical Center/Sinai Grace
• Detroit Medical Centre
• Detroit Medical Consultants PC
• Detroit Medical Group, PLLC
• Detroit Medical Pharmacy Inc (Detroit Medical Pharmacy)
• Detroit Medical Service PLC
• Detroit Meditation & Yoga

• Clinic/Center in Detroit, MI
• Providers in Detroit, MI by specialty
• Clinic/Center 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.