University Physician Group is a Pediatrics Physician based in Detroit, MI. University Physician Group practices in Detroit, MI. The NPI Number for University Physician Group is 1447299797 and holds a License No. (Michigan).
The current practice location address for University Physician Group is 4201 St. Antoine St., Detroit, MI and can be reached out via phone at 313-745-4525. You can also correspond with University Physician Group through the mailing address at 400 MACK AVE STE 2, DETROIT, MI - 48201-2136 (mailing address contact number: 313-448-9006).
Location: 4201 St. Antoine St., Detroit, MI, 48201-2136
Provider Profile Details
NPI Number
1447299797
Provider Name
University Physician Group
Credential
Provider Entity Type
Organization
Address
4201 St. Antoine St., Detroit, MI, 48201-2136
Phone Number
313-745-4525
Fax Number
Provider Enumeration Date
06/05/2006
Last Update Date
03/12/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 23D0685178 | 01 | MI | CLIA COMPLIANCE DERM |
| 23D0913773 | 01 | MI | CLIA - MICROSCOPY OBGYN |
| 23D1080033 | 01 | MI | CLIA - MICROSCOPY FAM MED |
| 23D1086626 | 01 | MI | CLIA - WAIVER OTO |
| 23D1091632 | 01 | MI | CLIA WAIVER |
| 23D1096986 | 01 | MI | CLIA MICROSCOPY |
| 23D0701622 | 01 | MI | CLIA - PPM (MODERATE COMPLEXITY) |
| 23D1040688 | 01 | MI | CLIA - MICROSCOPY UROLOGY |
| 23D2054540 | 01 | MI | CLIA REGISTRATION (HIGH COMPLEXITY) |
| 0P30630 | 01 | MI | MEDICARE GROUP # |
| 23D1019738 | 01 | MI | CLIA - MICROSCOPY INT MED |
| 0P32120 | 01 | MI | MEDICARE GROUP # - MD/DO FEE LOCALITY 99 |
| 23D0650703 | 01 | MI | CLIA COMPLIANCE DERM |
| 0H22832 | 01 | MI | BCBSM GROUP NUMBER |
| 23D0701623 | 01 | MI | CLIA - MICROSCOPY INT MED |
| 23D1065430 | 01 | MI | CLIA - WAIVER OTO |
| 23D2028433 | 01 | MI | CLIA - MICROSCOPY FAM MED |
Provider Business Practice Location Address Details
Address
4201 St. Antoine St.
City
State
Zip
48201
Phone Number
313-745-4525
Fax Number
Provider Business Mailing Address Details
Address
400 Mack Ave Ste 2
City
State
Zip
48201-2136
Phone Number
313-448-9006
Fax Number
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Transplant Surgery
Speciality
-
Taxonomy
License No.
()
Definition
Definition to come.
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Allergy & Immunology
Speciality
-
Taxonomy
License No.
()
Definition
An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Anesthesiology
Speciality
-
Taxonomy
License No.
()
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
Provider's Taxonomy Details 4
Type
Allopathic & Osteopathic Physicians
Classification
Dermatology
Speciality
-
Taxonomy
License No.
()
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Provider's Taxonomy Details 5
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
-
Taxonomy
License No.
()
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Provider's Taxonomy Details 6
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
License No.
()
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.
Provider's Taxonomy Details 7
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
-
Taxonomy
License No.
()
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Provider's Taxonomy Details 8
Type
Allopathic & Osteopathic Physicians
Classification
Medical Genetics
Speciality
Clinical Genetics (M.D.)
Taxonomy
License No.
()
Definition
A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders.
Provider's Taxonomy Details 9
Type
Allopathic & Osteopathic Physicians
Classification
Neurological Surgery
Speciality
-
Taxonomy
License No.
()
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
Provider's Taxonomy Details 10
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
License No.
()
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Provider's Taxonomy Details 11
Type
Allopathic & Osteopathic Physicians
Classification
Ophthalmology
Speciality
-
Taxonomy
License No.
()
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Provider's Taxonomy Details 12
Type
Allopathic & Osteopathic Physicians
Classification
Orthopedic Surgery
Speciality
-
Taxonomy
License No.
()
Definition
An orthopedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Provider's Taxonomy Details 13
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
-
Taxonomy
License No.
()
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Provider's Taxonomy Details 14
Type
Allopathic & Osteopathic Physicians
Classification
Pathology
Speciality
Anatomic Pathology & Clinical Pathology
Taxonomy
License No.
()
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
Provider's Taxonomy Details 15
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
-
Taxonomy
License No.
()
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.
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