University Physician Group

Primary specialty

AudiologistTaxonomy code 231H00000X

Legal business name

UNIVERSITY PHYSICIAN GROUP

Doing business as

Wayne State University Physician Group

Practice address

27177 Lahser Rd
Suite 203
Southfield, MI 48034-8416

Phone

(248) 357-4151

Fax

(248) 357-0229

NPI assigned

Jun 5, 2006

Last updated

Oct 26, 2016By 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

Mr. Jeffery P Kohlitz

Title

Chief Financial Officer

Phone

(248) 581-5930

Specialties & licenses 1

Addresses

Other names 1

• Wayne State University Physician Group Doing business as

Locations

Practitioners 3

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.

• Andrea J Abatemarco, RD

  • Registered Dietitian
  • Detroit, MI
  • NPI 1104073162
  NPD (past)
• Nicole Yvette Dobson, A.UD. CCC-A

  • Audiologist
  • Warren, MI
  • NPI 1871732792
  NPD (past)
• Jeanne Ann Livernois, AU.D.

  • Audiologist
  • Detroit, MI
  • NPI 1316277114
  NPD (past)

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477440000000",
    "number": "1346289600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 E MAPLE RD",
            "address_2": "SUITE 400-CREDENTIALING DEPT.",
            "city": "TROY",
            "state": "MI",
            "postal_code": "48083",
            "telephone_number": "248-581-5973",
            "fax_number": "248-581-5640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27177 LAHSER RD",
            "address_2": "SUITE 203",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480348416",
            "telephone_number": "248-357-4151",
            "fax_number": "248-357-0229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY PHYSICIAN GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-05",
        "last_updated": "2016-10-26",
        "status": "A",
        "authorized_official_last_name": "KOHLITZ",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "248-581-5930",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wayne State University Physician Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• University Allergy & Asthma Center PLLC
• University Neurosurgical Associates PC (Michigan Head and Spine Institute)
• University Otolaryngology
• University Otolaryngology
• University Physician Group (Wayne State University Physician Group)
• University Physician Group (Wayne State University Physician Group)
• Unleash Your Authenticity Counseling LLC
• Unlimited Medical Supplies Inc
• Phillip D Unthank, CRNA
• Hitesh P Upadhyay

• Audiologist in Southfield, MI
• Providers in Southfield, MI by specialty
• Audiologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2016; 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.