Organization Active NPI

DRS Services Inc

  • Internal Medicine Physician
  • Birmingham, MI
National Provider Identifier
1699881805
Registry record updated May 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
DRS SERVICES INC
Practice address
298 S Old Woodward Ave
Birmingham, MI 48009-6163
Phone
(248) 356-5534
Fax
(248) 352-3235
NPI assigned
Aug 21, 2006
Last updated
May 17, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2012

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

Authorized official

Name
Kimberly Jackson, CEO COO
Title
Ceo Coo
Phone
(248) 356-5534

Specialties & licenses 1

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

Addresses

Primary practice location

298 S Old Woodward Ave
Birmingham, MI 48009-6163

Mailing address

298 S Old Woodward Ave
Birmingham, MI 48009-6163
Phone (248) 356-5534

Other identifiers 2

IdentifierTypeStateIssuer
0D03640MedicaidMI
080F373970OtherBLUE CROSS

National Provider Directory

National Provider Directory

Locations

298 S Old Woodward Ave
Birmingham, MI 48009
Phone (248) 356-5534

4000 Town Ctr
Ste 370
Southfield, MI 48075
Phone (248) 356-5534

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337212800000",
    "number": "1699881805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "298 S OLD WOODWARD AVE",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480096163",
            "telephone_number": "248-356-5534",
            "fax_number": "248-352-3235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "298 S OLD WOODWARD AVE",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480096163",
            "telephone_number": "248-356-5534",
            "fax_number": "248-352-3235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2012-05-17",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "CEO COO",
        "authorized_official_telephone_number": "248-356-5534",
        "authorized_official_credential": "CEO COO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0D03640",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "080F373970",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2012; 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.