NPIMap

Organization Active NPI

Comprehensive Woman'S Care, PC

  • Obstetrics & Gynecology Physician
  • Clinton TWP, MI
National Provider Identifier
1992895221
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
COMPREHENSIVE WOMAN'S CARE, PC
Practice address
39200 Garfield Rd
Suite B
Clinton TWP, MI 48038-4095
Phone
(586) 286-6060
Fax
(586) 286-5055
NPI assigned
Oct 16, 2006
Organization subpart
Yes
Parent organization
EASTSIDE GYNECOLOGY-OBSTETRICS, P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 31, 2021

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

Authorized official

Name
Dr. Chad R. White, MD
Title
President
Phone
(586) 286-6060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

39200 Garfield Rd
Suite B
Clinton TWP, MI 48038-4095

Mailing address

39200 Garfield Rd
Suite B
Clinton TWP, MI 48038-4095
Phone (586) 286-6060

Other practice location 1

29751 Little Mack Ave Ste B
Roseville, MI 48066-6504
Phone (586) 415-6200

Other identifiers 3

IdentifierTypeStateIssuer
2942798MedicaidMI
160E078710OtherMIBCBS MI
1750415915OtherMIEASTSIDE GYNECOLOGY-OBSTETRICS, P.C.

National Provider Directory

National Provider Directory
Part of
Together Womens Health PC

Locations

39200 Garfield Rd
Ste B
Clinton Twp, MI 48038
Phone (586) 286-6060

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23349/brand/5/csg/61/fhir/r4

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617148800000",
    "number": "1992895221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39200 GARFIELD RD",
            "address_2": "SUITE B",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480384095",
            "telephone_number": "586-286-6060",
            "fax_number": "586-286-5055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39200 GARFIELD RD",
            "address_2": "SUITE B",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480384095",
            "telephone_number": "586-286-6060",
            "fax_number": "586-286-5055"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29751 Little Mack Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "MI",
            "postal_code": "480666504",
            "country_code": "US",
            "telephone_number": "586-415-6200",
            "fax_number": "586-415-6217",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COMPREHENSIVE WOMAN'S CARE, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EASTSIDE GYNECOLOGY-OBSTETRICS, P.C.",
        "enumeration_date": "2006-10-16",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-286-6060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2942798",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MI",
            "identifier": "160E078710",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EASTSIDE GYNECOLOGY-OBSTETRICS, P.C.",
            "identifier": "1750415915",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton TWP, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.