Active NPI
Victoria A Powell, DO
- Pediatrics Physician
- Adrian, MI
National Provider Identifier
1306895693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 5101016294
- Practice address
- 225 Riverside Ave
Adrian, MI 49221-1539 - Phone
- (517) 263-3003
- Fax
- (517) 263-3773
- NPI assigned
- May 6, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 5101016294 | MI | Primary |
Addresses
Primary practice location
225 Riverside Ave
Adrian, MI 49221-1539
Mailing address
225 Riverside Ave
Adrian, MI 49221-1539
Phone (517) 263-3003
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196553600000",
"number": "1306895693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 RIVERSIDE AVE",
"city": "ADRIAN",
"state": "MI",
"postal_code": "492211539",
"telephone_number": "517-263-3003",
"fax_number": "517-263-3773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 RIVERSIDE AVE",
"city": "ADRIAN",
"state": "MI",
"postal_code": "492211539",
"telephone_number": "517-263-3003",
"fax_number": "517-263-3773"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWELL",
"first_name": "VICTORIA",
"middle_name": "A",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-06",
"last_updated": "2007-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MI",
"license": "5101016294",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Adrian, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.