NPIMap

Organization Active NPI

The Detroit Osteopathic Hospital Corporation

  • Internal Medicine Physician
  • Warren, MI
National Provider Identifier
1518159722
Registry record updated Aug 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
THE DETROIT OSTEOPATHIC HOSPITAL CORPORATION
Doing business as
Bi-County Clinical Practices
Practice address
13251 E 10 Mile Rd
Ste 300
Warren, MI 48089-2076
Phone
(586) 758-6263
Fax
(586) 758-7725
NPI assigned
Aug 11, 2007
Organization subpart
Yes
Parent organization
THE DETROIT OSTEOPATHIC HOSPITAL CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 11, 2007

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

Authorized official

Name
John Kibble
Title
Director
Phone
(313) 874-3436

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

13251 E 10 Mile Rd
Ste 300
Warren, MI 48089-2076

Mailing address

13251 E 10 Mile Rd
Ste 300
Warren, MI 48089-2076
Phone (586) 758-6263

Other names 1

  • Bi-County Clinical Practices Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bicounty Clinical Practices2 organizations share this tax ID, including this one
Part of
Bicounty Clinical Practices

Other organizations with this tax ID 1

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

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": "1186790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186790400000",
    "number": "1518159722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13251 E 10 MILE RD",
            "address_2": "STE 300",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480892076",
            "telephone_number": "586-758-6263",
            "fax_number": "586-758-7725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13251 E 10 MILE RD",
            "address_2": "STE 300",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480892076",
            "telephone_number": "586-758-6263",
            "fax_number": "586-758-7725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE DETROIT OSTEOPATHIC HOSPITAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE DETROIT OSTEOPATHIC HOSPITAL CORPORATION",
        "enumeration_date": "2007-08-11",
        "last_updated": "2007-08-11",
        "status": "A",
        "authorized_official_last_name": "KIBBLE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "313-874-3436"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bi-County Clinical Practices",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Warren, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2007; 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.