University Physician Group in Detroit - Nurse Practitioner
University Physician Group - NPI 1346289147
University Physician Group is a Nurse Practitioner in Detroit, Michigan. University Physician Group practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for University Physician Group is 1346289147. The last update date is 2016-10-26.
University Physician Group's current location address is 4100 John R St, Detroit, Michigan. You can contact this provider via phone number 3137454525 and fax number 3135768381. The mailing address for University Physician Group is 4100 John R St, Detroit, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | University Physician Group |
|---|---|
| Address | 4100 John R St, Detroit, Michigan |
| Phone Number | 3137454525 |
| Fax Number | 3135768381 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF FINA |
|---|---|
| Authorized Official Name | Kohlitz P Jeffery |
| Telephone Number | 2485815930 |
NPI Number Detail
| NPI Number | 1346289147 |
|---|---|
| Provider Enumeration Date | 2006-06-06 |
| Last Updated Date | 2016-10-26 |
Provider Mailing Address Detail
| Address | 4100 John R St |
|---|---|
| City | Detroit |
| State | Michigan (MI) |
| Post Code | 482012013 |
| Phone Number | 3137454525 |
| Fax Number | 3135768381 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
|
Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0P32180 | MI | MEDICARE GROUP # - NP | |
| 23D1096986 | MI | CLIA MICROSCOPY | |
| 23D2054540 | MI | CLIA REGISTRATION (HIGH COMPLE | |
| 0H22830 | MI | BCBSM GROUP NUMBER | |
| 23D0650703 | MI | CLIA COMPLIANCE DERM | |
| 23D0685178 | MI | CLIA COMPLIANCE DERM | |
| 23D0701622 | MI | CLIA - PPM (MODERATE COMPLEXIT |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to University Physician Group by the Centers for Medicare & Medicaid Services?
The University Physician Group has been assigned the NPI (National Provider Identifier) 1346289147 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where University Physician Group's facilities are situated?
The facilities of University Physician Group are physically located at the following address: 4100 John R St, Detroit, MI, 482012013.
What is University Physician Group's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for University Physician Group is Nurse Practitioner, and the taxonomy code that categorizes this field of expertise is 363L00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1346289147 to University Physician Group?
The Centers for Medicare & Medicaid Services originally issued the 1346289147 to University Physician Group on 2006-06-06.
As of what date were the details pertaining to University Physician Group last refreshed?
The information related to the University Physician Group, including its address, specialty, and other relevant details, was last updated on 2016-10-26.