Hester S Pernell MD PC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

4301041286 Issued in MI

Legal business name

HESTER S PERNELL MD PC

Practice address

16250 Northland Dr
312
Southfield, MI 48075-5205

Phone

(248) 557-1753

Fax

(248) 557-6404

NPI assigned

Jun 15, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Hester Susie Pernell, MD

Title

Internist

Phone

(248) 557-1753

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1276560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276646400000",
    "number": "1366763161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 PONDS VIEW DR",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481036606",
            "telephone_number": "248-557-1753",
            "fax_number": "248-557-6404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16250 NORTHLAND DR",
            "address_2": "312",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480755205",
            "telephone_number": "248-557-1753",
            "fax_number": "248-557-6404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HESTER S PERNELL MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-15",
        "last_updated": "2010-06-16",
        "status": "A",
        "authorized_official_last_name": "PERNELL",
        "authorized_official_first_name": "HESTER",
        "authorized_official_middle_name": "SUSIE",
        "authorized_official_title_or_position": "INTERNIST",
        "authorized_official_telephone_number": "248-557-1753",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MI",
            "license": "4301041286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hershman Chiropractic & Rehab PLLC
• Hershman Rehab LLC
• Hershman Sports & Spine PLLC
• Kathryn Hess, PEER SPECIALIST
• Katilyn Hess, PA
• Karri Elyse Hester, MD
• James Frank Hetner, MSW
• Malitha Samanthika Hettiarachchi, M.D.
• Brittinie Hetzman
• Satrina Heuton

• Primary Care Clinic/Center in Southfield, MI
• Providers in Southfield, MI by specialty
• Primary Care Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2010; 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.