Active NPI
Adrienne Marie Doerr, P.A.
- Physician Assistant
- Mount Clemens, MI
National Provider Identifier
1568652410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 133 S Main St
Mount Clemens, MI 48043-2308 - Phone
- (586) 465-1326
- Fax
- (586) 465-0329
- NPI assigned
- Jul 26, 2007
- Last updated
- Mar 26, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | NU | Primary |
Addresses
Primary practice location
133 S Main St
Mount Clemens, MI 48043-2308
Mailing address
54549 Stillwater Dr
Macomb, MI 48042-6105
Phone (248) 918-7411
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
- Physician Assistant
Interoperability endpoints
- adoerr313055@direct.hfhs.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364256000000",
"number": "1568652410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "54549 STILLWATER DR",
"city": "MACOMB",
"state": "MI",
"postal_code": "480426105",
"telephone_number": "248-918-7411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "133 S MAIN ST",
"city": "MOUNT CLEMENS",
"state": "MI",
"postal_code": "480432308",
"telephone_number": "586-465-1326",
"fax_number": "586-465-0329"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOERR",
"first_name": "ADRIENNE",
"middle_name": "MARIE",
"credential": "P.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-26",
"last_updated": "2013-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Clemens, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.