Organization Active NPI

Kansas Telemedicine Associates PC

  • Endocrinology, Diabetes & Metabolism Physician
  • West Bloomfield, MI
National Provider Identifier
1811653801
Registry record updated Nov 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
Legal business name
KANSAS TELEMEDICINE ASSOCIATES PC
Practice address
2957 Bloomfield Park Dr
West Bloomfield, MI 48323-3508
Phone
(248) 543-4180
NPI assigned
Nov 13, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2021

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

Authorized official

Name
Robert Igwe, MD
Title
Ceo
Phone
(248) 543-4180

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RE0101X Primary

Addresses

Primary practice location

2957 Bloomfield Park Dr
West Bloomfield, MI 48323-3508

Mailing address

355 Lexington Ave FL 12
New York, NY 10017-6612

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1636761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636761600000",
    "number": "1811653801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 LEXINGTON AVE FL 12",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100176612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2957 BLOOMFIELD PARK DR",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483233508",
            "telephone_number": "248-543-4180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANSAS TELEMEDICINE ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-13",
        "last_updated": "2021-11-13",
        "certification_date": "2021-11-13",
        "status": "A",
        "authorized_official_last_name": "IGWE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "248-543-4180",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bloomfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2021; 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.