ANNE-MARE ICE MD PC
NPI 1639347586
Pediatrics - Adolescent Medicine in Detroit, MI

NPI Status: Active since February 13, 2008

Contact Information

22341 W 8 MILE RD
DETROIT, MI
ZIP 48219
Phone: (313) 255-2209

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  • Organization
  • Pediatrics
  • Adolescent Medicine
  • Accepts Insurance

About ANNE-MARE ICE MD PC

This page provides the complete NPI Profile along with additional information for Anne-mare Ice Md Pc, a pediatrician established in Detroit, Michigan operating as a Pediatrics, focusing in adolescent medicine . The healthcare provider is registered in the NPI registry with number 1639347586 assigned on February 2008. The practitioner's primary taxonomy code is 2080A0000X with license number 4301031683 (MI). The provider is registered as an organization and their NPI record was last updated 18 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Mrs. Kassandra A Hill (General Manager)

NPI
1639347586
Provider Name
ANNE-MARE ICE MD PC
Entity Type
Organization
Location Address
22341 W 8 MILE RD DETROIT, MI 48219
Location Phone
(313) 255-2209
Mailing Address
22341 W 8 MILE RD DETROIT, MI 48219
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-13-2008
Last Update Date
02-13-2008
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A pediatrician like Anne-mare Ice Md Pc is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics Adolescent Medicine

Taxonomy Code
2080A0000X
Type
Allopathic & Osteopathic Physicians
License No.
4301031683
License State
MI
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Clear Silver - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Clear Gold - HMO
  • Clear Gold + Vision + Adult Dental - HMO
  • Clear Silver - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Blue Cross� Preferred HMO Bronze Extra - HMO
  • Blue Cross� Preferred HMO Bronze Saver HSA - HMO
  • Blue Cross� Preferred HMO Bronze Secure - HMO
  • Blue Cross� Preferred HMO Gold - HMO
  • Blue Cross� Preferred HMO Gold Extra - HMO
  • Blue Cross� Preferred HMO Silver - HMO
  • Blue Cross� Preferred HMO Silver Extra - HMO
  • Blue Cross� Preferred HMO Silver Saver - HMO
  • Blue Cross� Preferred HMO Value - HMO
  • Blue Cross� Select HMO Bronze Extra - HMO
  • Blue Cross� Premier PPO Bronze Extra - PPO
  • Blue Cross� Premier PPO Bronze HSA - PPO
  • Blue Cross� Premier PPO Bronze Secure - PPO
  • Blue Cross� Premier PPO Gold - PPO
  • Blue Cross� Premier PPO Gold Extra - PPO
  • Blue Cross� Premier PPO Silver - PPO
  • Blue Cross� Premier PPO Silver Extra - PPO
  • Blue Cross� Premier PPO Silver Saver HSA - PPO
  • Blue Cross� Premier PPO Value - PPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. KASSANDRA A HILL

Authorized Official Title
GENERAL MANAGER
Authorized Official Phone
(313) 255-4672

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1066910MEDICAID (05)MI 
0828710MEDICARE PIN (08)MI 
0H27243OTHER (01)MIBCBS OF MICHIGAN
B43111MEDICARE UPIN (02)MI 

Reviews for ANNE-MARE ICE MD PC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1639347586
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26696414516
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 6 + 9 + 6 + 4 + 1 + 4 + 5 + 1 + 6 + 24 = 74
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 74 = 66

The NPI number 1639347586 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 16 providers are registered at the same or nearby location.

VANIKA LATH MD

Internal Medicine

(Rheumatology)

22341 W 8 MILE RD
STE 201
DETROIT, MI
ZIP 48219

(313) 966-3222

DR. RAVI IYER M.D.

Family Medicine

22341 W 8 MILE RD
DETROIT, MI
ZIP 48219

(313) 387-8700

DR. KALPANA A CHOKSI MD

Pediatrics

(Adolescent Medicine)

22341 W 8 MILE RD
DETROIT, MI
ZIP 48219

(313) 255-2209

NORMA ABDALLAH

Pharmacy

22341 W 8 MILE RD
DETROIT, MI
ZIP 48219

(313) 533-1422

NORMA KHALIL ABDALLAH RPH

Pharmacist

22341 W 8 MILE RD
DETROIT, MI
ZIP 48219

(313) 533-1422

ROSE PEDIATRIC PC

Pediatrics

(Adolescent Medicine)

22341 W 8 MILE RD
DETROIT, MI
ZIP 48219

(313) 255-2209

WILLIAM C. HEATH MD PC

Pediatrics

(Adolescent Medicine)

22341 W 8 MILE RD
DETROIT, MI
ZIP 48219

(313) 255-4672

MRS. HUEY-FONG LIANG NP

Family Medicine

22341 W 8 MILE RD
DETROIT, MI
ZIP 48219

(313) 255-2209

WOODLAND PHARMACY CO

Pharmacy

(Community/Retail Pharmacy)

22341 W 8 MILE RD
DETROIT, MI
ZIP 48219

(313) 387-1700

WASIF HAFEEZ MD

Internal Medicine

(Infectious Disease)

22341 W 8 MILE RD
SECOND FLOOR POD 4
DETROIT, MI
ZIP 48219

(313) 592-3620

EXTRA CARE PHARMACY INC.

Pharmacy

(Community/Retail Pharmacy)

22341 W 8 MILE RD
DETROIT, MI
ZIP 48219

(313) 387-1700

PEDIATRIC STAFF PLLC

Specialist

22341 W 8 MILE RD
DETROIT, MI
ZIP 48219

(313) 255-2209

VITA FONTANA

Nurse Practitioner

(Family)

22341 W 8 MILE RD
DETROIT, MI
ZIP 48219

(313) 499-3630

WOODLAND URGENT CARE LLC

Clinic/Center

(Urgent Care)

22341 W 8 MILE RD
DETROIT, MI
ZIP 48219

(313) 387-8700

WOODLAND URGENT CARE LLC

Family Medicine

22341 W 8 MILE RD
DETROIT, MI
ZIP 48219

(313) 387-8700

DR. ANDRINA LABIB KARANA DMD

Dentist

22341 W 8 MILE RD
DETROIT, MI
ZIP 48219

(313) 371-9880

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639347586, enumerated as an "organization" on February 13, 2008.

The provider is located at 22341 W 8 MILE RD DETROIT, MI 48219 and the phone number is (313) 255-2209.

Pediatrics with taxonomy code 2080A0000X and a focus in Adolescent Medicine.

The provider might be accepting Accepts: Ambetter from Meridian, Ambetter Health, Blue Care. Please consult your insurance carrier or call the provider to verify.