Luke OBGYN Care PC
Organization Active NPI Obstetrics & Gynecology Physician · Bingham Farms, MI
NPI 1699972737 · NPPES record last updated Sep 24, 2009
Key facts
- NPI
- 1699972737
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- 4301042251 (MI)
- Legal business name
- LUKE OBGYN CARE PC
- Practice address
- 30400 Telegraph Rd
Suite 350
Bingham Farms, MI 48025-4537 - Phone
- (248) 353-9460
- Fax
- (248) 353-8084
- NPI assigned
- Jul 2, 2007
- Organization subpart
- No
Authorized official
- Name
- Jeremiah Whittington, M.D.
- Title
- President
- Phone
- (248) 353-9460
Practitioners 5
-
Korial J Atty, M.D.
-
Joseph Berenholz, M.D.
-
Lisa Cardwell, MD
-
Bruce E West, M.D.
National Provider Directory
Locations
29425 Northwestern Hwy
Ste 200
Southfield, MI 48034
Phone (248) 948-6900
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician |
207V00000X | 4301042251 | MI | Yes |
Addresses
Primary practice location
30400 Telegraph Rd
Suite 350
Bingham Farms, MI 48025-4537
Mailing address
30400 Telegraph Rd
Suite 350
Bingham Farms, MI 48025-4537
Phone (248) 353-9460
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104504490 | Medicaid | MI | |
| 160631551 | Other | MI | BCBS |
Other providers in Bingham Farms, MI
- Low Vision Associates, P.C.
- Allison Michelle Lowe
- LTC Physician Care PC
- Marie Claire Luca
- Patricia Anne Lugger
- Josephine Lulgjuraj
- Nicolette Lulgjuraj
- Christopher Robert Lumley
- Jonathan Lawrence Lundblad
- Tyler Lusczki
All providers in Bingham Farms, MI · Obstetrics & Gynecology Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 24, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.