Organization Active NPI

Laurel Womens Medical Group

  • Obstetrics & Gynecology Physician
  • Bloomfield Hills, MI
National Provider Identifier
1699959932
Registry record updated Oct 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
JS053367 Issued in MI
Legal business name
LAUREL WOMENS MEDICAL GROUP
Practice address
36880 Woodward Ave
Suite 201
Bloomfield Hills, MI 48304-0919
Phone
(248) 642-7710
Fax
(248) 642-1443
NPI assigned
Dec 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2011

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

Authorized official

Name
Dr. Joann Marie Smith, M.D.NPI 1548250400
Title
President
Phone
(248) 642-7710

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X JS053367 MI Primary

Addresses

Primary practice location

36880 Woodward Ave
Suite 201
Bloomfield Hills, MI 48304-0919

Mailing address

36880 Woodward Ave
Suite 201
Bloomfield Hills, MI 48304-0919
Phone (248) 642-7710

Other identifiers 2

IdentifierTypeStateIssuer
1699959932MedicaidMI
1699959932OtherMIBCBS OF MICHIGAN

National Provider Directory

National Provider Directory

Locations

6405 Telegraph Rd
Ste K
Bloomfield Hills, MI 48301
Phone (248) 642-7710

36880 Woodward Ave
Ste 201
Bloomfld Hls, MI 48304
Phone (248) 642-7710

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1198195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317859200000",
    "number": "1699959932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36880 WOODWARD AVE",
            "address_2": "SUITE 201",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483040919",
            "telephone_number": "248-642-7710",
            "fax_number": "248-642-1443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36880 WOODWARD AVE",
            "address_2": "SUITE 201",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483040919",
            "telephone_number": "248-642-7710",
            "fax_number": "248-642-1443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUREL WOMENS MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-21",
        "last_updated": "2011-10-06",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JOANN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-642-7710",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "JS053367",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1699959932",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MICHIGAN",
            "identifier": "1699959932",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2011; 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.