WAYNE STATE UNIVERSITY PHYSICIAN GROUP - NPI 1316987589 - Physician Assistant in Detroit, MI

Q: What is University Physician Group's NPI number?

The NPI number for University Physician Group is 1316987589. It was assigned to this organization in the NPPES registry on June 7, 2006. The provider is doing business as Wayne State University Physician Group.

Q: What is University Physician Group's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

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About Wayne State University Physician Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WAYNE STATE UNIVERSITY PHYSICIAN GROUP (NPI 1316987589) is a healthcare organization registered as a physician assistant in Detroit, Michigan and active in the NPI registry since June 2006. The organization lists Jeffery P Kohlitz, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1316987589

Entity TypeOrganization

Primary Taxonomy363A00000X

Legal Business NameUNIVERSITY PHYSICIAN GROUP

Location Address4100 JOHN R STDetroit, MI 48201-2013

Mailing Address1560 E. Maple Rd., Suite 400-credentialing Dept.Troy, MI 48083-1138 · (248) 581-5973 · Fax (248) 581-5640

Phone(313) 745-4525

Organization SubpartNo

Authorized OfficialJeffery P KohlitzChief Financial Officer · (248) 581-5930

Enumeration DateJune 7, 2006

Last NPPES UpdateOctober 26, 20162 updates tracked since enumeration

✔ NPI 1316987589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

4100 JOHN R ST, Detroit, MI 48201

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Other Names 1

Doing Business AsWayne State University Physician Group

Other Identifiers 3

Other0H24111MI · Bcbsm Group Number

Other0P32070MI · Medicare Group # - Pa

Medicare PIN0P32070MI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BARBARA ANN KARMANOS CANCER HOSPITAL

Pharmacy (Community/Retail Pharmacy)

4100 JOHN R ST, SUITE HP00RX
DETROIT, MI 48201

Wayne County (313) 576-9350

BARBARA ANN KARMANOS CANCER CENTER

General Acute Care Hospital