Organization Active NPI

Advanced Reproductive Medicine & Surgery, PC

  • Reproductive Endocrinology Physician
  • Bloomfield Hills, MI
National Provider Identifier
1801081625
Registry record updated Sep 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
License
DB038087 Issued in MI
Legal business name
ADVANCED REPRODUCTIVE MEDICINE & SURGERY, PC
Practice address
4190 Telegraph Rd
Suite 1500
Bloomfield Hills, MI 48302-2079
Phone
(248) 203-0900
NPI assigned
Sep 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2007

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

Authorized official

Name
Mrs. Marie Therese Helka
Title
Office Manager
Phone
(248) 203-0900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Reproductive Endocrinology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VE0102X DB038087 MI Primary

Addresses

Primary practice location

4190 Telegraph Rd
Suite 1500
Bloomfield Hills, MI 48302-2079

Mailing address

4190 Telegraph Road
Suite 1500
Bloomfield Hills, MI 48302
Phone (248) 203-0900

Other identifiers 2

IdentifierTypeStateIssuer
1606358661OtherMIBCBS
1606358691OtherMIBCBS

National Provider Directory

National Provider Directory

Locations

4190 Telegraph Rd
Ste 1500
Bloomfld Hls, MI 48302
Phone (248) 203-0900

NPI Registry JSON

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

{
    "created_epoch": "1189728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189728000000",
    "number": "1801081625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4190 TELEGRAPH ROAD",
            "address_2": "SUITE 1500",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "48302",
            "telephone_number": "248-203-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4190 TELEGRAPH RD",
            "address_2": "SUITE 1500",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483022079",
            "telephone_number": "248-203-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED REPRODUCTIVE MEDICINE & SURGERY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-14",
        "last_updated": "2007-09-14",
        "status": "A",
        "authorized_official_last_name": "HELKA",
        "authorized_official_first_name": "MARIE",
        "authorized_official_middle_name": "THERESE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "248-203-0900",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "MI",
            "license": "DB038087",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1606358661",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1606358691",
            "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 Sep 14, 2007; 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.