Kmak Hendrix & McNeeley PLLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

KMAK HENDRIX & MCNEELEY PLLC

Practice address

4201 Saint Antoine St
University Health Center, 4F
Detroit, MI 48201-2153

Phone

(313) 745-0499

Fax

(810) 833-8801

NPI assigned

Oct 29, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Susan L. Hendrix, DO

Title

Owner

Phone

(810) 720-5715

Specialties & licenses 1

Addresses

Other names 1

• Premiere Womens Health Specialists Doing business as

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Chester Kmak, MD

  • Obstetrics & Gynecology Physician
  • Detroit, MI
  • NPI 1700826252
  NPD (past)
• Diane A Vista-Deck, MD

  • Obstetrics & Gynecology Physician
  • Detroit, MI
  • NPI 1265479703
  NPD (past)

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

{
    "created_epoch": "1193616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291680000000",
    "number": "1447439294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7148 RELIABLE PKWY",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606860071",
            "telephone_number": "810-720-5715",
            "fax_number": "810-600-1597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 SAINT ANTOINE ST",
            "address_2": "UNIVERSITY HEALTH CENTER, 4F",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012153",
            "telephone_number": "313-745-0499",
            "fax_number": "810-833-8801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KMAK HENDRIX & MCNEELEY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-29",
        "last_updated": "2010-12-07",
        "status": "A",
        "authorized_official_last_name": "HENDRIX",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-720-5715",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premiere Womens Health Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chad Louis Klochko, M.D.
• Joshua Klonoski, MD
• Kyle Klooster, MD, DDS
• Jared Tristan Klutke, MD
• KM&M Never Forgotten Homecare
• David Chester Kmak, MD
• Valerie Anne Kmak, NURSE PRACTITIONER
• Natalie Kmet, DO
• Andrea Bell Kmiec, PA-C
• KMK Home Services

• Obstetrics & Gynecology Physician in Detroit, MI
• Providers in Detroit, MI by specialty
• Obstetrics & Gynecology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.