Organization Active NPI

Pamela L Reaves MD PC

  • Gynecology Physician
  • Detroit, MI
National Provider Identifier
1518133891
Registry record updated May 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
PR056648 Issued in MI
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
104438026MedicaidMI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D1009653Pamela L Reaves, MD, PC20176 Livernois Avenue, Suite 101, Detroit, MI 48221Provider-performed microscopyFeb 20, 2027

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.