Active NPI
Laurel Womens Medical Group
- Obstetrics & Gynecology Physician
- Bloomfield Hills, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- JS053367
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699959932 | Medicaid | MI | |
| 1699959932 | Other | MI | BCBS OF MICHIGAN |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Obstetrics & Gynecology Physician
- Bloomfield Hills, MI
- NPI 1548250400
-
- Obstetrics & Gynecology Physician
- Oxford, MI
- NPI 1023099843
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.