Organization Active NPI

Woods Pediatrics Clinic

  • Pediatrics Physician
  • Harper Woods, MI
National Provider Identifier
1366562142
Registry record updated Dec 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
WOODS PEDIATRICS CLINIC
Practice address
19925 Vernier Rd
Harper Woods, MI 48225-1486
Phone
(313) 886-3232
Fax
(313) 886-1833
NPI assigned
Mar 29, 2007
Last updated
Dec 8, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2009

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

Authorized official

Name
Dr. Susan Kessler, M.D
Title
Officer
Phone
(313) 886-3232

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X NU Primary

Addresses

Primary practice location

19925 Vernier Rd
Harper Woods, MI 48225-1486

Mailing address

19925 Vernier Rd
Harper Woods, MI 48225-1486
Phone (313) 886-3232

Other identifiers 1

IdentifierTypeStateIssuer
2593409MedicaidMI

National Provider Directory

National Provider Directory

Locations

19925 Vernier Rd
Harper Woods, MI 48225
Phone (313) 245-1417

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260230400000",
    "number": "1366562142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19925 VERNIER RD",
            "city": "HARPER WOODS",
            "state": "MI",
            "postal_code": "482251486",
            "telephone_number": "313-886-3232",
            "fax_number": "313-886-1833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19925 VERNIER RD",
            "city": "HARPER WOODS",
            "state": "MI",
            "postal_code": "482251486",
            "telephone_number": "313-886-3232",
            "fax_number": "313-886-1833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODS PEDIATRICS CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2009-12-08",
        "status": "A",
        "authorized_official_last_name": "KESSLER",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "313-886-3232",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2593409",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harper Woods, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.