Active NPI
Stanley A Dorfman, M.D.
- Obstetrics & Gynecology Physician
- Pontiac, MI
National Provider Identifier
1700825288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 4301029359
- Practice address
- 44405 Woodward Ave
Suite 200
Pontiac, MI 48341-5023 - Phone
- (248) 338-0100
- Fax
- (248) 858-3959
- NPI assigned
- Jun 6, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 4301029359 | MI | Primary |
Addresses
Primary practice location
44405 Woodward Ave
Suite 200
Pontiac, MI 48341-5023
Mailing address
PO Box 187
Bloomfield Hills, MI 48303-0187
Phone (248) 338-0100
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C4203 | Other | MI | MCARE |
| 160F36364 | Other | MI | BCBS GROUP |
| 0004278388 | Other | MI | AETNA |
| 0F36364 | Other | MI | MEDICARE GROUP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301029359 | MI | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associated Obstetrics & Gynecology, P.C. | Obstetrics & Gynecology | Current | Accepting new patients |
Locations
2525 S Telegraph Rd
Ste 201
Bloomfld Hls, MI 48302
Phone (248) 338-0100
44405 Woodward Ave
Ste 200
Pontiac, MI 48341
Phone (248) 338-0100
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Bloomfield Hills, MI
- NPI 1407895469
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206403200000",
"number": "1700825288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 187",
"city": "BLOOMFIELD HILLS",
"state": "MI",
"postal_code": "483030187",
"telephone_number": "248-338-0100",
"fax_number": "248-858-3959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44405 WOODWARD AVE",
"address_2": "SUITE 200",
"city": "PONTIAC",
"state": "MI",
"postal_code": "483415023",
"telephone_number": "248-338-0100",
"fax_number": "248-858-3959"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DORFMAN",
"first_name": "STANLEY",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-06",
"last_updated": "2008-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MI",
"license": "4301029359",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCARE",
"identifier": "C4203",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GROUP",
"identifier": "160F36364",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0004278388",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP",
"identifier": "0F36364",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pontiac, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.