NPIMap

Organization Active NPI

North Woodward Internal Medicine Associates, P.C.

  • Internal Medicine Physician
  • Clawson, MI
National Provider Identifier
1609966696
Registry record updated Nov 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
NORTH WOODWARD INTERNAL MEDICINE ASSOCIATES, P.C.
Practice address
555 W 14 Mile Rd
Suite 100
Clawson, MI 48017-3100
Phone
(248) 655-1400
Fax
(248) 655-2646
NPI assigned
Oct 13, 2006
Last updated
Nov 4, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2022

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

Authorized official

Name
Dawn Andersen
Title
Office Manager
Phone
(248) 655-2641

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

555 W 14 Mile Rd
Suite 100
Clawson, MI 48017-3100

Mailing address

555 W 14 Mile Rd
Suite 100
Clawson, MI 48017-3100
Phone (248) 655-1400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040211000881 MI Part B Supplier - Clinic/Group Practice 3870487788 Receives reassigned benefits from 6 practitioners
Practice locations: Clawson, MI

National Provider Directory

National Provider Directory

Locations

390 Park St
Ste 100
Birmingham, MI 48009
Phone (248) 594-1400

555 W 14 Mile Rd
Ste 100
Clawson, MI 48017
Phone (248) 655-1400

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667520000000",
    "number": "1609966696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 W 14 MILE RD",
            "address_2": "SUITE 100",
            "city": "CLAWSON",
            "state": "MI",
            "postal_code": "480173100",
            "telephone_number": "248-655-1400",
            "fax_number": "248-655-2646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 W 14 MILE RD",
            "address_2": "SUITE 100",
            "city": "CLAWSON",
            "state": "MI",
            "postal_code": "480173100",
            "telephone_number": "248-655-1400",
            "fax_number": "248-655-2646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH WOODWARD INTERNAL MEDICINE ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2022-11-04",
        "certification_date": "2022-11-04",
        "status": "A",
        "authorized_official_last_name": "ANDERSEN",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "248-655-2641"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clawson, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.