Organization Active NPI

Women Medical Center,PC

  • Obstetrics & Gynecology Physician
  • Dearborn, MI
National Provider Identifier
1598834038
Registry record updated Aug 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
4301407322 Issued in MI
Legal business name
WOMEN MEDICAL CENTER,PC
Practice address
9724 Dix
Dearborn, MI 48120-1566
Phone
(313) 841-3400
Fax
(313) 841-6890
NPI assigned
Nov 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2015

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

Authorized official

Name
Martina Lenora Abrams-Alderman
Title
Office Manager
Phone
(313) 841-3400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 4301407322 MI Primary

Addresses

Primary practice location

9724 Dix
Dearborn, MI 48120-1566

Mailing address

9724 Dix
Dearborn, MI 48120-1566
Phone (313) 841-3400

Other identifiers 2

IdentifierTypeStateIssuer
2694395MedicaidMI
0826935OtherMIBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070503000532 MI Part B Supplier - Clinic/Group Practice 6901902154 Receives reassigned benefits from 1 practitioner
Practice locations: Dearborn, MI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D0726731Women'S Medical Center9724 Dix Road, Dearborn, MI 48120Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

9724 Dix
Dearborn, MI 48120
Phone (313) 841-3400

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": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439251200000",
    "number": "1598834038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9724 DIX",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481201566",
            "telephone_number": "313-841-3400",
            "fax_number": "313-841-6890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9724 DIX",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481201566",
            "telephone_number": "313-841-3400",
            "fax_number": "313-841-6890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMEN MEDICAL CENTER,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2015-08-11",
        "status": "A",
        "authorized_official_last_name": "ABRAMS-ALDERMAN",
        "authorized_official_first_name": "MARTINA",
        "authorized_official_middle_name": "LENORA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "313-841-3400"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301407322",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2694395",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0826935",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.