Active NPI
Pamela L Reaves MD PC
- Gynecology Physician
- Detroit, MI
National Provider Identifier
1518133891
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- PR056648
- Legal business name
- PAMELA L REAVES MD PC
- Practice address
- 20176 Livernois Ave
Suite 101
Detroit, MI 48221-1346 - Phone
- (313) 927-0000
- NPI assigned
- May 6, 2008
- Last updated
- May 6, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Labretta D Quick
- Title
- Billing Manager
- Phone
- (313) 864-3000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | PR056648 | MI | Primary |
Addresses
Primary practice location
20176 Livernois Ave
Suite 101
Detroit, MI 48221-1346
Mailing address
20176 Livernois Ave
Suite 101
Detroit, MI 48221-1346
Phone (313) 927-0000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104438026 | Medicaid | MI |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D1009653 | Pamela L Reaves, MD, PC | Provider-performed microscopy | Feb 20, 2027 |
National Provider Directory
National Provider DirectoryLocations
20176 Livernois Ave
Ste 101
Detroit, MI 48221
Phone (313) 864-7385
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Obstetrics & Gynecology Physician
- Detroit, MI
- NPI 1952340804
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210032000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1210032000000",
"number": "1518133891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20176 LIVERNOIS AVE",
"address_2": "SUITE 101",
"city": "DETROIT",
"state": "MI",
"postal_code": "482211346",
"telephone_number": "313-927-0000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20176 LIVERNOIS AVE",
"address_2": "SUITE 101",
"city": "DETROIT",
"state": "MI",
"postal_code": "482211346",
"telephone_number": "313-927-0000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAMELA L REAVES MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-06",
"last_updated": "2008-05-06",
"status": "A",
"authorized_official_last_name": "QUICK",
"authorized_official_first_name": "LABRETTA",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "BILLING MANAGER",
"authorized_official_telephone_number": "313-864-3000",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "MI",
"license": "PR056648",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104438026",
"state": "MI"
}
],
"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 May 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.