Organization Active NPI

Alex Pickens & Assoc M D P C

  • Hospice and Palliative Medicine (Obstetrics & Gynecology) Physician
  • Detroit, MI
National Provider Identifier
1952529091
Registry record updated Sep 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Obstetrics & Gynecology) PhysicianTaxonomy code 207VH0002X
License
4301038348 Issued in MI
Legal business name
ALEX PICKENS & ASSOC M D P C
Doing business as
Pickens Medical Center
Practice address
15639 W McNichols Rd
Detroit, MI 48235-3541
Phone
(313) 272-2400
Fax
(313) 535-9060
NPI assigned
Apr 23, 2007
Organization subpart
Yes
Parent organization
ALEX PICKENS & ASSOC M D P CAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 16, 2011

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

Authorized official

Name
Dr. Alex Pickens Jr., M,D,
Title
Medical Director
Phone
(313) 272-2400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Obstetrics & Gynecology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207VH0002X 4301038348 MI Primary

Addresses

Primary practice location

15639 W McNichols Rd
Detroit, MI 48235-3541

Mailing address

PO Box 23518
Detroit, MI 48223-0518
Phone (313) 272-2400

Other names 1

  • Pickens Medical Center Doing business as

National Provider Directory

National Provider Directory
Part of
Alex Pickens Assoc MD PC

Locations

15643 W McNichols Rd
Detroit, MI 48235
Phone (313) 272-2400

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316131200000",
    "number": "1952529091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23518",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482230518",
            "telephone_number": "313-272-2400",
            "fax_number": "313-535-9060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15639 W MCNICHOLS RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482353541",
            "telephone_number": "313-272-2400",
            "fax_number": "313-535-9060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEX PICKENS & ASSOC M D P C",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALEX PICKENS & ASSOC M D P C",
        "enumeration_date": "2007-04-23",
        "last_updated": "2011-09-16",
        "status": "A",
        "authorized_official_last_name": "PICKENS",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "313-272-2400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M,D,"
    },
    "taxonomies": [
        {
            "code": "207VH0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Hospice and Palliative Medicine",
            "state": "MI",
            "license": "4301038348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pickens Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 16, 2011; 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.