Active NPI
Arletha Anderson, M.D. P.C.
- Family Medicine Physician
- Detroit, MI
National Provider Identifier
1578751467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4301071086
- Legal business name
- ARLETHA ANDERSON, M.D. P.C.
- Practice address
- 503 W Grand Blvd
Detroit, MI 48216-2200 - Phone
- (313) 554-0227
- NPI assigned
- Oct 5, 2007
- 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
- Dr. Arletha Lenise Anderson, M.D.
- Title
- President
- Phone
- (313) 587-4448
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4301071086 | MI | Primary |
Addresses
Primary practice location
503 W Grand Blvd
Detroit, MI 48216-2200
Mailing address
503 W Grand Blvd
Detroit, MI 48216-2200
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0808272112 | Other | MI | BLUE CROSS PIN |
| 4427824 | Medicaid | MI | |
| 4674990 | Medicaid | MI |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Geriatric Medicine (Family Medicine) Physician
- Southfield, MI
- NPI 1568561959
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191542400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1191542400000",
"number": "1578751467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "503 W GRAND BLVD",
"city": "DETROIT",
"state": "MI",
"postal_code": "482162200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "503 W GRAND BLVD",
"city": "DETROIT",
"state": "MI",
"postal_code": "482162200",
"telephone_number": "313-554-0227"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARLETHA ANDERSON, M.D. P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-05",
"last_updated": "2007-10-05",
"status": "A",
"authorized_official_last_name": "ANDERSON",
"authorized_official_first_name": "ARLETHA",
"authorized_official_middle_name": "LENISE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "313-587-4448",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "MI",
"license": "4301071086",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS PIN",
"identifier": "0808272112",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4427824",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4674990",
"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 Oct 5, 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.