Active NPI
Alasdair McKendrick, M.D., P.C.
- Specialist
- Southfield, MI
National Provider Identifier
1598895427
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- AM033769
- Legal business name
- ALASDAIR MCKENDRICK, M.D., P.C.
- Practice address
- 22250 Providence Dr
Suite 208
Southfield, MI 48075-4825 - Phone
- (248) 557-8780
- Fax
- (248) 557-3242
- NPI assigned
- Mar 7, 2007
- Last updated
- Jan 5, 2010
- 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. Alasdair I.L. McKendrick, M.D.
- Title
- President
- Phone
- (248) 380-8005
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 |
|---|---|---|---|---|
| Specialist | 174400000X | AM033769 | MI | Primary |
Addresses
Primary practice location
22250 Providence Dr
Suite 208
Southfield, MI 48075-4825
Mailing address
22250 Providence Dr
Suite 208
Southfield, MI 48075-4825
Phone (248) 557-8780
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101940 | Other | MI | GREAT LAKES HEALTH |
| 102712 | Other | MI | CARE CHOICES |
| 21874 | Other | MI | OMNICARE |
| 4262359 | Other | MI | AETNA |
| 1360373 | Other | MI | FIRST HEALTH |
| 791281006 | Other | MI | RRMR |
| 1011632001 | Other | MI | WELLNESS PLAN |
| 9726331001 | Other | MI | CIGNA |
| 2836795-10 | Medicaid | MI | |
| C3934 | Other | MI | MCARE |
| 2806335721 | Other | MI | BCBSM |
National Provider Directory
National Provider DirectoryLocations
22250 Providence Dr
Ste 208
Southfield, MI 48075
Phone (248) 557-8780
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Colon & Rectal Surgery Physician
- Southfield, MI
- NPI 1003814955
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173225600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1262649600000",
"number": "1598895427",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22250 PROVIDENCE DR",
"address_2": "SUITE 208",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480754825",
"telephone_number": "248-557-8780",
"fax_number": "248-557-3242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22250 PROVIDENCE DR",
"address_2": "SUITE 208",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480754825",
"telephone_number": "248-557-8780",
"fax_number": "248-557-3242"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALASDAIR MCKENDRICK, M.D., P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-07",
"last_updated": "2010-01-05",
"status": "A",
"authorized_official_last_name": "MCKENDRICK",
"authorized_official_first_name": "ALASDAIR",
"authorized_official_middle_name": "I.L.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "248-380-8005",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MI",
"license": "AM033769",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GREAT LAKES HEALTH",
"identifier": "101940",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARE CHOICES",
"identifier": "102712",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OMNICARE",
"identifier": "21874",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4262359",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "1360373",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RRMR",
"identifier": "791281006",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLNESS PLAN",
"identifier": "1011632001",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "9726331001",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2836795-10",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCARE",
"identifier": "C3934",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM",
"identifier": "2806335721",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.