WAYNE STATE UNIVERSITY PHYSICIAN GROUP
NPI 1346289147
Nurse Practitioner in Detroit, MI
NPI Status: Active since June 06, 2006
Contact Information
4100 JOHN R ST
DETROIT, MI
ZIP 48201
Phone: (313) 745-4525
Fax: (313) 576-8381
- Organization
- Nurse Practitioner
- Accepts Insurance
- CLIA Number: 23D0701623
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 05-16-2027
About WAYNE STATE UNIVERSITY PHYSICIAN GROUP
This page provides the complete NPI Profile along with additional information for Wayne State University Physician Group, a provider established in Detroit, Michigan operating as a Nurse Practitioner. The healthcare provider is registered in the NPI registry with number 1346289147 assigned on June 2006. The practitioner's primary taxonomy code is 363L00000X. The provider is registered as an organization and their NPI record was last updated 9 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 provider's is doing business as Wayne State University Physician Group. The authorized official of this NPI record is Mr. Jeffery P Kohlitz (Chief Financial Officer)
- NPI
- 1346289147
- Provider Legal Name
- UNIVERSITY PHYSICIAN GROUP
- Other Organization Name
- WAYNE STATE UNIVERSITY PHYSICIAN GROUP
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 4100 JOHN R ST DETROIT, MI 48201
- Location Phone
- (313) 745-4525
- Location Fax
- (313) 576-8381
- Mailing Address
- 1560 E MAPLE RD SUITE 400-CREDENTIALING DEPT TROY, MI 48083
- Mailing Phone
- (248) 581-5973
- Mailing Fax
- (313) 576-8381
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-06-2006
- Last Update Date
- 10-26-2016
- Code Navigator
A nurse practitioner (NP) like Wayne State University Physician Group is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, 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
Nurse Practitioner
- Taxonomy Code
- 363L00000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy Description
- (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 certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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:
- Blue Cross� Metro Detroit HMO Bronze Extra - HMO
- Blue Cross� Metro Detroit HMO Silver Extra - 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� Select HMO Bronze Saver HSA - HMO
- Blue Cross� Select HMO Bronze Secure - HMO
- Blue Cross� Select HMO Silver - HMO
- Blue Cross� Select HMO Silver Extra - HMO
- Blue Cross� Select HMO Silver Saver - HMO
- Blue Cross� Select HMO Value - HMO
- Bronze First - HMO
- Bronze First Adult Vision & Fitness - HMO
- Diabetes Gold - HMO
- Diabetes Gold Adult Vision & Fitness - HMO
- Diabetes Silver - HMO
- Diabetes Silver Adult Vision & Fitness - HMO
- Gold - HMO
- Gold Adult Vision & Fitness - HMO
- HDHP Preventive Silver - HMO
- Healthy Heart Gold - HMO
- Healthy Heart Gold Adult Vision & Fitness - HMO
- Healthy Heart Silver - HMO
- Healthy Heart Silver Adult Vision & Fitness - HMO
- Low Premium Silver - HMO
- Low Premium Silver Adult Vision & Fitness - HMO
- Silver - HMO
- Silver Adult Vision & Fitness - HMO
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.
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 |
|---|---|---|---|
| 0P32180 | OTHER (01) | MI | MEDICARE GROUP # - NP |
| 0H22830 | OTHER (01) | MI | BCBSM GROUP NUMBER |
| 23D2054540 | OTHER (01) | MI | CLIA REGISTRATION (HIGH COMPLEXITY) |
| 23D1096986 | OTHER (01) | MI | CLIA MICROSCOPY |
| 0P32180 | MEDICARE PIN (08) | MI | |
| 23D0650703 | OTHER (01) | MI | CLIA COMPLIANCE DERM |
| 23D0685178 | OTHER (01) | MI | CLIA COMPLIANCE DERM |
| 23D0701622 | OTHER (01) | MI | CLIA - PPM (MODERATE COMPLEXITY) |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 23D0701623
- Facility Type
- Physician Office
- Certificate Effective Date
- May 17, 2025
- Certificate Expiration Date
- May 16, 2027
- Laboratory Director
- JAMES H. SONDHEIMER
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Wayne State University Physician Group in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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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. | |||||||||
| 1 | 3 | 4 | 6 | 2 | 8 | 9 | 1 | 4 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 8 | 6 | 4 | 8 | 18 | 1 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 8 + 6 + 4 + 8 + 1 + 8 + 1 + 8 + 24 = 73 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 73 = 7 | 7 | ||||||||
The NPI number 1346289147 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1366443137 | MARIA VLACHAKI M.D. Individual | Radiology (Radiation Oncology) | 4100 JOHN R ST DETROIT, MI 48201 (313) 745-9191 |
| 1457332579 | CHRISTINE RYMAL NP Individual | Nurse Practitioner (Adult Health) | 4100 JOHN R ST DETROIT, MI 48201 (800) 527-6266 |
| 1699756213 | MRS. LAURIE ANNE FREEMAN-GIBB N.P. Individual | Nurse Practitioner (Adult Health) | 4100 JOHN R ST WALT CBC KARMANOS CC DETROIT, MI 48201 (313) 576-8694 |
| 1669563359 | DR. SIMON MICHAEL CRONIN PHARM.D. Individual | Pharmacist (Pharmacotherapy) | 4100 JOHN R ST DETROIT, MI 48201 (313) 576-8804 |
| 1063579894 | ANDREA P SAMPSON-HAGGOOD N.P. Individual | Nurse Practitioner | 4100 JOHN R ST DETROIT, MI 48201 (313) 745-4525 |
| 1922132752 | MR. STEPHEN T SMITH RPH, MS Individual | Pharmacist (Pharmacotherapy) | 4100 JOHN R ST PHARMACY DEPARTMENT DETROIT, MI 48201 (313) 576-8809 |
| 1699894592 | JENNIFER WEDGE CNP Individual | Nurse Practitioner | 4100 JOHN R ST DETROIT, MI 48201 (800) 527-6266 |
| 1144349960 | KAREN NICHOLS CNP Individual | Nurse Practitioner | 4100 JOHN R ST DETROIT, MI 48201 (800) 527-6266 |
| 1639299035 | DR. NATASHA LYNNE ROBINETTE M.D. Individual | Radiology (Neuroradiology) | 4100 JOHN R ST MAILCODE HP07ID DETROIT, MI 48201 (313) 576-9950 |
| 1861513848 | CHIN YEH LIU Individual | Pharmacist (Oncology) | 4100 JOHN R ST DETROIT, MI 48201 (313) 576-8803 |
| 1518174333 | PATRICIA ANN RAYNER PHARM. D. Individual | Pharmacist | 4100 JOHN R ST DETROIT, MI 48201 (313) 576-8806 |
| 1447429949 | NAZIK HAMMAD MD Individual | Internal Medicine (Medical Oncology) | 4100 JOHN R ST DETROIT, MI 48201 (313) 576-8746 |
| 1407025869 | DAVID JAMES REEVES PHARM.D. Individual | Pharmacist (Oncology) | 4100 JOHN R ST DETROIT, MI 48201 (313) 576-8806 |
| 1114189834 | MARY ANN NAGY RPH Individual | Pharmacist (Pharmacotherapy) | 4100 JOHN R ST PHARMACY DEPARTMENT DETROIT, MI 48201 (313) 576-8814 |
| 1265679088 | DR. SHIN OGITA M.D. Individual | Internal Medicine (Hematology & Oncology) | 4100 JOHN R ST HW04HO DETROIT, MI 48201 (313) 576-8740 |
| 1093955213 | ELIZABETH HAY PHARMD Individual | Pharmacist (Oncology) | 4100 JOHN R ST DETROIT, MI 48201 (313) 576-8807 |
| 1265662738 | MISS DANIELLE ALLYN BAILLARGEON P.A.-C. Individual | Physician Assistant | 4100 JOHN R ST DETROIT, MI 48201 (313) 576-8211 |
| 1881918357 | BARBARA ADAM N.P. Individual | Nurse Practitioner | 4100 JOHN R ST DETROIT, MI 48201 (800) 527-6266 |
| 1306161757 | MRS. LINDA MARY VANNI RN, MSN, ACNS-BC, NP Individual | Nurse Practitioner | 4100 JOHN R ST DETROIT, MI 48201 (313) 576-9085 |
| 1538433347 | MS. KATHLEEN ELLIZABETH REYNOLDS RN, MSN, CNS, NP Individual | Registered Nurse (Psychiatric/Mental Health, Adult) | 4100 JOHN R ST WEO1PF DETROIT, MI 48201 (313) 576-9059 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1346289147, enumerated in the NPI registry as an "organization" on June 06, 2006
The provider is located at 4100 John R St Detroit, Mi 48201 and the phone number is (313) 745-4525
This medical organization specializes in Nurse Practitioner with taxonomy code 363L00000X
The provider might be accepting Accepts: Blue Care Network of Michigan, HAP CareSource,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 23D0701623 for a "physician office" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..
This NPI record was last updated on June 06, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.