Active NPI
Anne Marie Romanik-Patenaude, MD
- Pediatrics Physician
- Novi, MI
National Provider Identifier
1538160510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 4301065549
- Practice address
- 26850 Providence Pkwy
Suite 455
Novi, MI 48374-1213 - Phone
- (248) 465-4847
- Fax
- (248) 465-4877
- NPI assigned
- Aug 2, 2005
- Last updated
- Mar 31, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 4301065549 | MI | Primary |
Addresses
Primary practice location
26850 Providence Pkwy
Suite 455
Novi, MI 48374-1213
Mailing address
15990 W 9 Mile Rd
Southfield, MI 48075-4826
Phone (248) 849-4226
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 349488010 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301065549 | MI | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396224000000",
"number": "1538160510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15990 W 9 MILE RD",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480754826",
"telephone_number": "248-849-4226",
"fax_number": "248-849-4240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26850 PROVIDENCE PKWY",
"address_2": "SUITE 455",
"city": "NOVI",
"state": "MI",
"postal_code": "483741213",
"telephone_number": "248-465-4847",
"fax_number": "248-465-4877"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROMANIK-PATENAUDE",
"first_name": "ANNE",
"middle_name": "MARIE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-02",
"last_updated": "2014-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MI",
"license": "4301065549",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "349488010",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Novi, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.