Organization Active NPI

Sherwood Medical Center, Inc

  • Urology Physician
  • Detroit, MI
National Provider Identifier
1477510188
Registry record updated Aug 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
046953 Issued in MI
Legal business name
SHERWOOD MEDICAL CENTER, INC
Practice address
7441 W 7 Mile Rd
Detroit, MI 48221-2123
Phone
(313) 864-4452
Fax
(313) 864-4469
NPI assigned
Apr 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2012

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

Authorized official

Name
Dr. Conrad Cuthbert Maitland, M.D.NPI 1952379430
Title
President
Phone
(313) 864-4452

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208800000X 046953 MI Primary

Addresses

Primary practice location

7441 W 7 Mile Rd
Detroit, MI 48221-2123

Mailing address

7441 W 7 Mile Rd
Detroit, MI 48221-2123
Phone (313) 864-4452

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100118000169 MI Part B Supplier - Clinic/Group Practice 7517009384 Receives reassigned benefits from 2 practitioners
Practice locations: Detroit, MI

National Provider Directory

National Provider Directory

Locations

7441 W 7 Mile Rd
Detroit, MI 48221
Phone (313) 864-4452

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344988800000",
    "number": "1477510188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7441 W 7 MILE RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482212123",
            "telephone_number": "313-864-4452",
            "fax_number": "313-864-4469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7441 W 7 MILE RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482212123",
            "telephone_number": "313-864-4452",
            "fax_number": "313-864-4469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERWOOD MEDICAL CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-27",
        "last_updated": "2012-08-15",
        "status": "A",
        "authorized_official_last_name": "MAITLAND",
        "authorized_official_first_name": "CONRAD",
        "authorized_official_middle_name": "CUTHBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-864-4452",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": "MI",
            "license": "046953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.