Organization Active NPI

Children Hosptial of Michigan

  • Children's Hospital
  • Detroit, MI
National Provider Identifier
1508010760
Registry record updated Nov 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Children's HospitalTaxonomy code 282NC2000X
License
L1335110 Issued in MI
Legal business name
CHILDREN HOSPTIAL OF MICHIGAN
Practice address
3737 Beaubien St Apt 805
Detroit, MI 48201-2152
Phone
(917) 301-1386
NPI assigned
Nov 13, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2008

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

Authorized official

Name
Dr. Jie Sun, M.D.
Title
Pediatric Cardiology Fellow
Phone
(917) 301-1386

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Children's Hospital 282NC2000X L1335110 MI Primary

Addresses

Primary practice location

3737 Beaubien St Apt 805
Detroit, MI 48201-2152

Mailing address

3737 Beaubien St Apt 805
Detroit, MI 48201-2152
Phone (917) 301-1386

National Provider Directory

National Provider Directory
Tax ID family
Childrens Hosp of M12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1226534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226534400000",
    "number": "1508010760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3737 BEAUBIEN ST APT 805",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012152",
            "telephone_number": "917-301-1386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3737 BEAUBIEN ST APT 805",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012152",
            "telephone_number": "917-301-1386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN HOSPTIAL OF MICHIGAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-13",
        "last_updated": "2008-11-13",
        "status": "A",
        "authorized_official_last_name": "SUN",
        "authorized_official_first_name": "JIE",
        "authorized_official_title_or_position": "PEDIATRIC CARDIOLOGY FELLOW",
        "authorized_official_telephone_number": "917-301-1386",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "282NC2000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Children",
            "state": "MI",
            "license": "L1335110",
            "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 Nov 13, 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.