NPIMap

Organization Active NPI

City of Detroit

  • Infectious Disease Physician
  • Detroit, MI
National Provider Identifier
1578866877
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
Legal business name
CITY OF DETROIT
Practice address
3245 E Jefferson Ave Ste 100
Detroit, MI 48207-4222
Phone
(313) 876-4000
Fax
(313) 876-0475
NPI assigned
Dec 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Kanzoni Asabigi
Title
Sr. Public Health Advisor
Phone
(313) 876-4000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RI0200X Primary
State or Local Public Health Clinic/Center 261QP0905X

Addresses

Primary practice location

3245 E Jefferson Ave Ste 100
Detroit, MI 48207-4222

Mailing address

3245 E. Jefferson Ste. 100
Detroit, MI 48207-4222
Phone (313) 876-4307

Other identifiers 1

IdentifierTypeStateIssuer
4456991MedicaidMI

Other names 1

  • Detroit Health Department Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Emergency Medical Serv15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

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

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1291852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1578866877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3245 E. JEFFERSON STE. 100",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482074222",
            "telephone_number": "313-876-4307",
            "fax_number": "313-876-0475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3245 E JEFFERSON AVE STE 100",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482074222",
            "telephone_number": "313-876-4000",
            "fax_number": "313-876-0475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF DETROIT",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-09",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "ASABIGI",
        "authorized_official_first_name": "KANZONI",
        "authorized_official_title_or_position": "SR. PUBLIC HEALTH ADVISOR",
        "authorized_official_telephone_number": "313-876-4000"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4456991",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Detroit Health Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 16, 2018; 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.