Paint Creek Obstetrics & Gynecology PC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

TWO53571 Issued in MI

Legal business name

PAINT CREEK OBSTETRICS & GYNECOLOGY PC

Practice address

6700 North Rochester Road
Ste 112
Rochester Hills, MI 48306

Phone

(248) 650-1534

Fax

(248) 650-1537

NPI assigned

Jan 29, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Thomas Phillip Wolfe, MD

Title

Physician

Phone

(248) 650-1534

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David D Hodge, MD

  • Obstetrics & Gynecology Physician
  • Rochester Hills, MI
  • NPI 1982644829
  NPD (past)
• Ty M Kwaiser, MD

  • Obstetrics & Gynecology Physician
  • Royal Oak, MI
  • NPI 1922039742
  NPD (past)
• Shelley L. Sapick, MD

  • Obstetrics & Gynecology Physician
  • Troy, MI
  • NPI 1447367024
  NPD (past)

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679619449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6700 NORTH ROCHESTER ROAD",
            "address_2": "STE 112",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "48306",
            "telephone_number": "248-650-1534",
            "fax_number": "248-650-1537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 NORTH ROCHESTER ROAD",
            "address_2": "STE 112",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "48306",
            "telephone_number": "248-650-1534",
            "fax_number": "248-650-1537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAINT CREEK OBSTETRICS & GYNECOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WOLFE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "PHILLIP",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "248-650-1534",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "TWO53571",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "CCO52610",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3133379",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3382641",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Divakar Pai, M.D.
• Paige Vannorman Psychological Services PLLC
• Pain Clinic of Michigan Associates PC
• Pain Clinic of Rochester
• Paint Creek Counseling, PLLC
• Paint Creek Pediatrics and Adolescent Care PC
• Marie E Palazzolo-Meyer, D.C.
• Jill Palazzolo, R.P.H.
• Nadine Palazzolo, CCC-SLP
• Lawrence Mark Palmer, D.D.S.

• Obstetrics & Gynecology Physician in Rochester Hills, MI
• Providers in Rochester Hills, MI by specialty
• Obstetrics & Gynecology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.