Active NPI
DRS Services Inc
- Internal Medicine Physician
- Birmingham, MI
National Provider Identifier
1699881805
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- 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, 2012
- 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
- Kimberly Jackson, CEO COO
- Title
- Ceo Coo
- Phone
- (248) 356-5534
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0D03640 | Medicaid | MI | |
| 080F373970 | Other | BLUE CROSS |
National Provider Directory
National Provider DirectoryLocations
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.