Active NPI
Heather Spohn Baron, PAC
- Physician Assistant
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5601004284
- Practice address
- 2799 W Grand Blvd
Detroit, MI 48202-2608 - Phone
- (800) 653-6868
- NPI assigned
- May 19, 2006
- Last updated
- Mar 17, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | NU | ||
| Physician Assistant | 363A00000X | 5601004284 | MI | Primary |
| Medical Physician Assistant | 363AM0700X | NU | ||
| Surgical Physician Assistant | 363AS0400X | NU |
Addresses
Primary practice location
2799 W Grand Blvd
Detroit, MI 48202-2608
Mailing address
14760 31 Mile Rd
Washington Township, MI 48095-1503
Phone (248) 722-8298
Other practice location 1
6071 W Outer Dr
Detroit, MI 48235-2624
Phone (313) 966-3300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1062339 | Other | MI | NCCPA CERTIFICATE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Wayne State University School of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1101 W University Dr
Rochester, MI 48307-1863
Phone (248) 652-5000
47601 Grand River Ave
Novi, MI 48374-1233
Phone (248) 465-4210
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5601004284 | MI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ahmad Munir MD PC | Current | Accepting new patients | |
| Henry Ford Health System | Physician Assistant | Current | Accepting new patients |
| Henry Ford Pathology | Current | Accepting new patients | |
| Henry Ford Health System | Current | Accepting new patients | |
| DMC Orthopedic Billing Associates LLC | Past | Accepting new patients | |
| CT Center of Flint, PLLC | Past | Accepting new patients | |
| Heart Rhythm Clinic of Michigan PC | Past | Accepting new patients |
Locations
2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062
3901 Beaubien St
Detroit, MI 48201
Phone (313) 745-5227
6071 W Outer Dr
Detroit, MI 48235
Phone (313) 966-3300
1335 S Linden Rd
Ste A
Flint, MI 48532
Phone (810) 285-8501
205 N East Ave
Jackson, MI 49201
Phone (517) 788-4730
1101 W University Dr
Rochester Hls, MI 48307
Phone (248) 601-4805
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Southfield, MI
- NPI 1700119500
-
dba Munir Heart and Valve Clinic
- Interventional Cardiology Physician
- Flint, MI
- NPI 1033001300
-
- Physician Assistant
- Detroit, MI
- NPI 1811073901
-
- Neurology Physician
- Rochester, MI
- NPI 1366565442
-
- Community/Retail Pharmacy
- Plymouth, MI
- NPI 1942931720
-
- Anatomic Pathology & Clinical Pathology Physician
- Detroit, MI
- NPI 1851410005
-
dba Premier Imaging Centers
- Radiology Clinic/Center
- Flint, MI
- NPI 1578898698
-
dba DMC Billing Associates, LLC
- Orthopaedic Surgery Physician
- Detroit, MI
- NPI 1457387607
-
- Clinical Cardiac Electrophysiology Physician
- Flint, MI
- NPI 1659816882
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1811940729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14760 31 MILE RD",
"city": "WASHINGTON TOWNSHIP",
"state": "MI",
"postal_code": "480951503",
"telephone_number": "248-722-8298"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2799 W GRAND BLVD",
"city": "DETROIT",
"state": "MI",
"postal_code": "482022608",
"telephone_number": "800-653-6868"
}
],
"practiceLocations": [
{
"address_1": "6071 W Outer Dr",
"address_purpose": "LOCATION",
"city": "Detroit",
"state": "MI",
"postal_code": "482352624",
"country_code": "US",
"telephone_number": "313-966-3300",
"fax_number": "810-765-8169",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BARON",
"first_name": "HEATHER",
"middle_name": "SPOHN",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-19",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": "5601004284",
"primary": true
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCCPA CERTIFICATE NUMBER",
"identifier": "1062339",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.