VERNOR PEDIATRIC PC (NPI# 1073010625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073010625 |
| Entity Type | Organization |
| Organization Name | VERNOR PEDIATRIC PC |
| Practice Address |
4607 W Vernor Hwy Detroit MI 48209-2117 |
| Practice Telephone | 3135543300 |
| Practice Fax Number | 3135543303 |
| Mailing Telephone | 3135543300 |
| Mailing Fax Number | 3135543303 |
| Enumeration Date | 2018-04-10 |
| Last Update Date | 2018-04-10 |
| Authorized Official Name | NIBRAS KARMO (OWNER) |
| Authorized Official Telephone | 2483541600 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
NK069655 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
4607 W VERNOR HWY |
| City | DETROIT |
| State | MI |
| Zip Code | 48209-2117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316501471 | El Valle Optical, Inc. | Eyewear Supplier (Equipment, not the service) | 1940 Campbell, Detroit, MI 48209 | 2019-04-24 |
| 1598211583 | Elizabeth Lopez-riachi | Technician, Other | 1551 Cavaqlry St., Detroit, MI 48209 | 2016-08-30 |
| 1205210333 | Yamirka Torres | Behavioral Analyst | 1551 Cavalry St, Detroit, MI 48209 | 2015-07-18 |
| 1689943359 | Jessica Male | Pharmacist | 6223 W Jefferson Ave, Detroit, MI 48209 | 2011-12-23 |
| 1003070723 | Mark Beard | General Practice | 5700 W Vernor Hwy, Detroit, MI 48209 | 2008-07-11 |
| 1891980330 | Emery K Toth | Dentist | 8028 W Vernor Hwy, Detroit, MI 48209 | 2007-09-07 |
| 1225131881 | Eva A Karmo | Dentist | 4607 W. Vernor Hwy, Detroit, MI 48209 | 2006-09-07 |
| 1023123858 | Wanda E Velez Ruiz | Internal Medicine | 4115 W Vernor, Detroit, MI 48209 | 2006-08-20 |
| 1235142563 | Wendy Yousif Mckay | Family Medicine | 5831 W Vernor, Detroit, MI 48209 | 2006-08-15 |
| 1316950645 | Sahir H Cittan | Family Medicine | 5831 West Vernor, Detroit, MI 48209 | 2006-08-15 |
| Find all providers in zip 48209 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104440320 | How- Substance Abuse Abuse Program | Pediatrics | 8131 E Outer Dr, Detroit, MI 48213-1323 | 2020-06-03 |
| 1245660141 | Jinwoo Yoo M.d. | Pediatrics | 12632 Dexter Ave, Detroit, MI 48238-3340 | 2013-11-14 |
| 1104076595 | William C. Heath Md PC | Pediatrics | 22341 W 8 Mile Rd, Detroit, MI 48219-1217 | 2008-09-23 |
| 1639347586 | Anne-mare Ice Md PC | Pediatrics | 22341 W 8 Mile Rd, Detroit, MI 48219-1217 | 2008-02-13 |
| 1235324799 | Rose Pediatric PC | Pediatrics | 22341 W 8 Mile Rd, Detroit, MI 48219-1217 | 2007-09-07 |
| 1285667097 | Kalpana A Choksi | Pediatrics | 22341 W 8 Mile Rd, Detroit, MI 48219-1217 | 2006-07-08 |
| 1902839764 | Anne Mare Ice | Pediatrics | 22341 W 8 Mile Rd, Detroit, MI 48219-1217 | 2006-07-07 |
| 1922031798 | Jorge F Rose | Pediatrics | 22341 W 8 Mile Rd, Detroit, MI 48219-1217 | 2006-07-07 |
| 1982634119 | Gouri Ramesh | Pediatrics | 7900 Kercheval St, Detroit, MI 48214-2439 | 2006-07-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265921191 | Gogue Pediatrics, P.C. | Pediatrics | 39242 Dequindre Rd Ste 101, Sterling Heights, MI 48310-1764 | 2018-05-07 |
| 1801257738 | Alshefa Family Practice Pllc | Pediatrics | 28780 Ryan Rd, Suite B, Warren, MI 48092-2521 | 2016-03-20 |
| 1497130132 | Branch Pediatric&adolescent Medicinepc | Pediatrics | 360 E Chicago St Ste 101, Coldwater, MI 49036-2086 | 2015-07-23 |
| 1700277977 | Spectrum Health United | Pediatrics | 318 S Bridge St, Belding, MI 48809-1764 | 2015-02-10 |
| 1477943900 | Pediatric & Adolescent Clinic of Michigan | Pediatrics | 37375 Curtis Rd, Livonia, MI 48152-4090 | 2015-02-04 |
| 1316360043 | William Waters | Pediatrics | 981 Townline Rd, Charlevoix, MI 49720-8970 | 2014-01-31 |
| 1114348596 | Southwest Pediatrics Pllc | Pediatrics | 37672 Professional Center Dr Ste 120, Livonia, MI 48154-1140 | 2014-01-02 |
| 1467889386 | Community Health Center of Branch County | Pediatrics | 450 E Grant St, Bronson, MI 49028-1524 | 2013-10-09 |
| 1851687107 | Community Health Center of Branch County | Pediatrics | 18 Colfax St, Quincy, MI 49082-1139 | 2011-06-24 |
| 1275825770 | Mazen Hamameh Do PC | Pediatrics | 5831 Whitefield, Dearborn Heights, MI 48127 | 2011-05-03 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.