Pauline Cichon, DO

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

5101020151 Issued in MI

Practice address

22972 Lahser Rd
Southfield, MI 48033-4408

Phone

(248) 353-0079

Fax

(248) 809-6566

NPI assigned

Jun 24, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1308873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460419200000",
    "number": "1982990289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17187 SCHAEFER HWY",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482354132",
            "telephone_number": "313-367-2767",
            "fax_number": "313-367-2818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22972 LAHSER RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480334408",
            "telephone_number": "248-353-0079",
            "fax_number": "248-809-6566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CICHON",
        "first_name": "PAULINE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-24",
        "last_updated": "2016-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MI",
            "license": "5101020151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Loren Chudler, DO
• Cynthia Chung, M.D.
• Thomas Chung, DPT
• Aaliyah Chupp
• Karissa Church
• Cielo Medica
• John D Cirocco, CRNA
• Cita Angels Homecare Inc
• Citi Physicians Inc
• Citi Physicians Inc

• Physical Medicine & Rehabilitation Physician in Southfield, MI
• Providers in Southfield, MI by specialty
• Physical Medicine & Rehabilitation Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2016; 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.