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PETER C. DODENHOFF DO PC
NPI 1770754822
Family Medicine in Eastpointe, MI

Active since March 17, 2008
21811 KELLY RD, SUITE 107, EASTPOINTE, MI 48021(586) 773-0200(586) 773-9803 Get Directions Write a Review

NPPES record last updated: March 17, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Peter C. Dodenhoff Do Pc NPPES

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

PETER C. DODENHOFF DO PC (NPI 1770754822) is a healthcare organization registered as a family medicine in Eastpointe, Michigan and active in the NPI registry since March 2008. The organization lists Peter Dodenhoff, Owner, as its authorized official.

NPPES Registry Identity

NPI1770754822
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePETER C. DODENHOFF DO PC
Location Address21811 KELLY RD, SUITE 107Eastpointe, MI 48021-2793
Mailing Address21811 Kelly Rd, Suite 107Eastpointe, MI 48021-2793 · (586) 773-0200 · Fax (586) 773-9803
Phone(586) 773-0200
Fax(586) 773-9803
Organization SubpartNo
Authorized OfficialPeter DodenhoffOwner · (586) 773-0200
Enumeration DateMarch 17, 2008
✔ NPI 1770754822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · PD006192
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
21811 KELLY RD, Eastpointe, MI 48021
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Other Identifiers 3

Medicare PIN5503389MI
Medicaid1174544928MI
Other0255012095MI · Bcbs

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

Other Providers at the Same Location NPPES 11

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

WASSAN JAWAD KADHIM MD
Internal Medicine
21811 KELLY RD
EASTPOINTE, MI 48021
Macomb County (586) 649-3388
DR. AHMAD ELGHOROURY D.O.
Family Medicine
21811 KELLY RD
EASTPOINTE, MI 48021
Macomb County (586) 649-3388
DR. PETER CHARLES DODENHOFF DO, PC
Family Medicine
21811 KELLY RD, SUITE 107
EASTPOINTE, MI 48021
Macomb County (586) 773-0200
DR. TONY MICHAEL ABOOD D.O.
Family Medicine
21811 KELLY RD
EASTPOINTE, MI 48021
Macomb County (586) 649-3388
MR. ROBERT PAUL KINGSCOTT RPH
Pharmacist (Geriatric)
21811 KELLY RD, SUITE 103
EASTPOINTE, MI 48021
Macomb County (586) 498-7600
MIRETTE ATNAS
Family Medicine
21811 KELLY RD
EASTPOINTE, MI 48021
Macomb County (586) 649-3388
FLURA S. DAWDE M.D.
Family Medicine
21811 KELLY RD
EASTPOINTE, MI 48021
Macomb County (586) 649-3388
DR. SRIKAR T REDDY M.D.
Family Medicine
21811 KELLY RD
EASTPOINTE, MI 48021
Macomb County (586) 649-3388

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Peter C. Dodenhoff Do PC's NPI number?

The NPI number for Peter C. Dodenhoff Do PC is 1770754822. It was assigned to this organization in the NPPES registry on March 17, 2008.

Where is Peter C. Dodenhoff Do PC located?

Peter C. Dodenhoff Do PC is located at 21811 Kelly Rd Suite 107, Eastpointe, MI 48021. The listed phone number is (586) 773-0200.

What is Peter C. Dodenhoff Do PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Peter C. Dodenhoff Do PC was last updated on March 17, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.