Organization Active NPI

Hutzel Womens Health Specialists

  • Obstetrics Physician
  • Detroit, MI
National Provider Identifier
1902213689
Registry record updated Jun 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
Legal business name
HUTZEL WOMENS HEALTH SPECIALISTS
Practice address
4727 Saint Antoine St
Suite 304
Detroit, MI 48201-1461
Phone
(313) 833-8800
Fax
(313) 833-8801
NPI assigned
Jul 15, 2014
Last updated
Jun 23, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
METRO WOMENS HEALTH IIAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 23, 2021

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

Authorized official

Name
Dr. David C Kmak, MDNPI 1700826252
Title
Managing Partner
Phone
(313) 833-8800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics Physician 207VX0000X Primary

Addresses

Primary practice location

4727 Saint Antoine St
Suite 304
Detroit, MI 48201-1461

Mailing address

PO Box 29693
Belfast, ME 04915-2048
Phone (313) 833-8800

National Provider Directory

National Provider Directory
Part of
Hendrix Kmak McNeeley PLLC

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23753/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir-myrecord.cerner.com/r4/5c654365-4e23-4939-9491-d281db1c1688/

Practitioners & affiliated clinicians

Practitioners 25

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1405382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624406400000",
    "number": "1902213689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29693",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049152048",
            "telephone_number": "313-833-8800",
            "fax_number": "313-833-8801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4727 SAINT ANTOINE ST",
            "address_2": "SUITE 304",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482011461",
            "telephone_number": "313-833-8800",
            "fax_number": "313-833-8801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUTZEL WOMENS HEALTH SPECIALISTS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "METRO WOMENS HEALTH II",
        "enumeration_date": "2014-07-15",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A",
        "authorized_official_last_name": "KMAK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "313-833-8800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 23, 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.