PROFESSIONAL MEDICAL CENTER PC
NPI 1619985058
Pediatrics in Detroit, MI

Q: What is Professional Medical Center PC's NPI number?

The NPI number for Professional Medical Center PC is 1619985058. It was assigned to this organization in the NPPES registry on August 3, 2006.

Q: What is Professional Medical Center PC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since August 03, 2006

3956 MOUNT ELLIOTT ST, DETROIT, MI 48207(313) 925-4540(313) 925-0322 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

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About Professional Medical Center Pc NPPES

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

PROFESSIONAL MEDICAL CENTER PC (NPI 1619985058) is a healthcare organization registered as a pediatrics in Detroit, Michigan and active in the NPI registry since August 2006. The organization lists Augustine K Kole-james, President, as its authorized official.

NPPES Registry Identity

NPI1619985058

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NamePROFESSIONAL MEDICAL CENTER PC

Location Address3956 MOUNT ELLIOTT STDetroit, MI 48207-1841

Mailing AddressPo Box 3160Detroit, MI 48203-0160 · (313) 925-4540 · Fax (313) 925-0322

Phone(313) 925-4540

Fax(313) 925-0322

Organization SubpartNo

Authorized OfficialAugustine K Kole-jamesPresident · (313) 925-4540

Enumeration DateAugust 3, 2006

Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration

✔ NPI 1619985058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedObstetrics & GynecologyTaxonomy 207V00000X

3956 MOUNT ELLIOTT ST, Detroit, MI 48207

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

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

ELLEN L ANDERSON R.N.

Registered Nurse (Continuing Education/Staff Development)