Kenneth E. Vobach, M.D., P.C.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

4301075399 Issued in MI

Legal business name

KENNETH E. VOBACH, M.D., P.C.

Practice address

9024 Woodridge Dr
Davison, MI 48423-8373

Phone

(810) 955-9966

NPI assigned

Jun 1, 2009

Last updated

Jun 1, 2009By 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

Kenneth Edmund Vobach, M.D.

Title

President

Phone

(810) 955-9966

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1243814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243814400000",
    "number": "1316173602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9024 WOODRIDGE DR",
            "city": "DAVISON",
            "state": "MI",
            "postal_code": "484238373",
            "telephone_number": "810-955-9966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9024 WOODRIDGE DR",
            "city": "DAVISON",
            "state": "MI",
            "postal_code": "484238373",
            "telephone_number": "810-955-9966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH E. VOBACH, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-01",
        "last_updated": "2009-06-01",
        "status": "A",
        "authorized_official_last_name": "VOBACH",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "EDMUND",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "810-955-9966",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301075399",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1004206451",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pediatrics Physician in Davison, MI
• Providers in Davison, MI by specialty
• Pediatrics Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2009; 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.