Active NPI
Clarissa C Cowles, MD
- Obstetrics & Gynecology Physician
- Royal Oak, MI
National Provider Identifier
1356359202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- M143041361
- Practice address
- 5130 Coolidge Highway
Royal Oak, MI 48073 - Phone
- (248) 288-9500
- Fax
- (248) 288-0044
- NPI assigned
- Aug 4, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | M143041361 | MI | Primary |
Addresses
Primary practice location
5130 Coolidge Highway
Royal Oak, MI 48073
Mailing address
30625 Woodgate
Southfield, MI 48076
Phone (248) 433-1247
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1604702141 | Other | MI | BCBS IND |
| 1356359202 | Medicaid | MI | |
| 700H231390 | Other | MI | BCBS GROUP NUMBER |
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M143041361 | MI | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Birmingham Royal Oak Medical Group | Current | Accepting new patients |
Locations
5130 Coolidge Hwy
Royal Oak, MI 48073
Phone (248) 288-9500
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Royal Oak, MI
- NPI 1699907550
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1310083200000",
"number": "1356359202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30625 WOODGATE",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "48076",
"telephone_number": "248-433-1247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5130 COOLIDGE HIGHWAY",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "48073",
"telephone_number": "248-288-9500",
"fax_number": "248-288-0044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COWLES",
"first_name": "CLARISSA",
"middle_name": "C",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-04",
"last_updated": "2011-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MI",
"license": "M143041361",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS IND",
"identifier": "1604702141",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1356359202",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GROUP NUMBER",
"identifier": "700H231390",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Royal Oak, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.