Organization Active NPI

Cynthia Chow, M.D., P.C.

  • Dermatology Physician
  • Rochester Hills, MI
National Provider Identifier
1477634467
Registry record updated Mar 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
4301025962 Issued in MI
Legal business name
CYNTHIA CHOW, M.D., P.C.
Practice address
1419 Walton Blvd
Rochester Hills, MI 48309-1775
Phone
(248) 651-1001
Fax
(248) 651-1002
NPI assigned
Oct 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2009

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

Authorized official

Name
Dr. Cynthia Chow, M.D.
Title
President
Phone
(248) 651-1001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X 4301025962 MI Primary

Addresses

Primary practice location

1419 Walton Blvd
Rochester Hills, MI 48309-1775

Mailing address

1419 Walton Blvd
Rochester Hills, MI 48309-1775
Phone (248) 651-1001

Other identifiers 1

IdentifierTypeStateIssuer
0706313891OtherMIBLUE CROSS BLUE SHIELD MI

National Provider Directory

National Provider Directory

Locations

43151 Dalcoma Dr
Ste 1
Clinton Twp, MI 48038
Phone 5862868720308

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": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237852800000",
    "number": "1477634467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1419 WALTON BLVD",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483091775",
            "telephone_number": "248-651-1001",
            "fax_number": "248-651-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1419 WALTON BLVD",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483091775",
            "telephone_number": "248-651-1001",
            "fax_number": "248-651-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYNTHIA CHOW, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2009-03-24",
        "status": "A",
        "authorized_official_last_name": "CHOW",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-651-1001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "MI",
            "license": "4301025962",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD MI",
            "identifier": "0706313891",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.