VERNOR PEDIATRIC PC


Address: 4607 W Vernor Hwy, Detroit, MI 48209-2117
Phone: 3135543300

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080A0000X Pediatrics
Specialization: Adolescent Medicine
NK069655 MI Allopathic & Osteopathic Physicians

Office Location

Street Address 4607 W VERNOR HWY
City DETROIT
State MI
Zip Code 48209-2117

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 2080A0000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Adolescent Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City DETROIT
Zip Code 48209

Improve Information

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Dataset Information

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.

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