Active NPI
Sarah E Clune, DO
- Pediatrics Physician
- Farmington Hills, MI
National Provider Identifier
1477515963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 5101007603
- Practice address
- 28300 Orchard Lake Rd
Ste 100
Farmington Hills, MI 48334 - Phone
- (248) 855-7510
- Fax
- (248) 855-5626
- NPI assigned
- Apr 3, 2006
- Last updated
- Jul 9, 2022
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 5101007603 | MI | Primary |
Addresses
Primary practice location
28300 Orchard Lake Rd
Ste 100
Farmington Hills, MI 48334
Mailing address
24 Frank Lloyd Drive
Ste J2000
Ann Arbor, MI 48105
Phone (248) 855-7510
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 192732011 | Medicaid | MI |
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 Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101007603 | MI | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iha Health Services Corporation | Past | Accepting new patients | |
| Orchard Pediatrics PC | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- sclune1318964@direct.trinity-health.org
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- West Bloomfield, MI
- NPI 1720040215
-
dba IHA Milan Primary Care
- Family Medicine Physician
- Milan, MI
- NPI 1467509067
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657324800000",
"number": "1477515963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 FRANK LLOYD DRIVE",
"address_2": "STE J2000",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "48105",
"telephone_number": "248-855-7510",
"fax_number": "248-855-5626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28300 ORCHARD LAKE RD",
"address_2": "STE 100",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "48334",
"telephone_number": "248-855-7510",
"fax_number": "248-855-5626"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLUNE",
"first_name": "SARAH",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-03",
"last_updated": "2022-07-09",
"certification_date": "2022-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MI",
"license": "5101007603",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "192732011",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Farmington Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.