Mission Obstetrics & Gynecology P C

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

MISSION OBSTETRICS & GYNECOLOGY P C

Practice address

11300 E 13 Mile Rd
Suite 4
Warren, MI 48093-2500

Phone

(586) 574-1313

Fax

(586) 574-0842

NPI assigned

Oct 24, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Debra A Yerke

Title

Billing Manager

Phone

(586) 582-9297

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560124800000",
    "number": "1265515852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11300 E 13 MILE RD",
            "address_2": "SUITE 4",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480932500",
            "telephone_number": "586-574-1313",
            "fax_number": "586-574-0842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11300 E 13 MILE RD",
            "address_2": "SUITE 4",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480932500",
            "telephone_number": "586-574-1313",
            "fax_number": "586-574-0842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION OBSTETRICS & GYNECOLOGY P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2019-06-10",
        "status": "A",
        "authorized_official_last_name": "YERKE",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "586-582-9297",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "160E010210",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Makayla Renee Mitchell-Dearman
• Ashlie Mitchell
• Chelsea Mitchell

• Specialist in Warren, MI
• Providers in Warren, MI by specialty
• Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2019; 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.