Organization Active NPI

Henry W. Maicki, M.D., PLLC

  • Obstetrics & Gynecology Physician
  • Farmington Hills, MI
National Provider Identifier
1497924989
Registry record updated Feb 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
HM026513 Issued in MI
Legal business name
HENRY W. MAICKI, M.D., PLLC
Practice address
24353 Orchard Lake Rd
Suite E
Farmington Hills, MI 48336-1917
Phone
(248) 471-4777
Fax
(248) 477-1613
NPI assigned
Feb 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2008

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

Authorized official

Name
Dr. Henry W. Maicki, M.D.
Title
Owner
Phone
(248) 471-4777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X HM026513 MI Primary

Addresses

Primary practice location

24353 Orchard Lake Rd
Suite E
Farmington Hills, MI 48336-1917

Mailing address

24353 Orchard Lake Rd
Suite E
Farmington Hills, MI 48336-1917
Phone (248) 471-4777

Other identifiers 1

IdentifierTypeStateIssuer
0N39950OtherMIMEDICARE NUMBER

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204156800000",
    "number": "1497924989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24353 ORCHARD LAKE RD",
            "address_2": "SUITE E",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483361917",
            "telephone_number": "248-471-4777",
            "fax_number": "248-477-1613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24353 ORCHARD LAKE RD",
            "address_2": "SUITE E",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483361917",
            "telephone_number": "248-471-4777",
            "fax_number": "248-477-1613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY W. MAICKI, M.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-28",
        "last_updated": "2008-02-28",
        "status": "A",
        "authorized_official_last_name": "MAICKI",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-471-4777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "HM026513",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NUMBER",
            "identifier": "0N39950",
            "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 Feb 28, 2008; 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.