DR. ALEX PICKENS JR.


Address: 20510 Fenkell St, Detroit, MI 48223-1613
Phone: 3135346611

DR. ALEX PICKENS JR. (NPI# 1649226507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1649226507
Entity Type Individual
Full Name DR. ALEX PICKENS JR.
Credential M.D.
Practice Address 20510 Fenkell St
Detroit
MI 48223-1613
Mailing Address Po Box 23035
Detroit
MI 48223-0035
Practice Telephone 3135346611
Practice Fax Number 3135342525
Mailing Telephone 3135346611
Mailing Fax Number 3135349060
Enumeration Date 2006-05-25
Last Update Date 2011-09-07
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207V00000X Obstetrics & Gynecology 4301038348 MI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MI 1778178 05
MI 1429963 05

Office Location

Street Address 20510 FENKELL ST
City DETROIT
State MI
Zip Code 48223-1613

Providers in the same location

NPI Name Taxonomy Address Enumeration
1730297839 Joshua Abiodun Obiri Physical Therapist 20510 Fenkell St, Detroit, MI 48223-1613 2006-08-28
1023126190 Temitope Oluwole Fatiregun Physical Therapist 20510 Fenkell St, Detroit, MI 48223-1613 2006-08-28
1437267556 Adeyinka Mark Fagbamila Physical Therapist 20510 Fenkell St, Detroit, MI 48223-1613 2006-08-28

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1366946659 From Heavens Joy Assisted Care Support Services LLC Social Worker 14179 Evergreen Rd, Detroit, MI 48223 2018-03-21
1164921144 Kyara Mccraney Licensed Practical Nurse 12725 Riverview St, Detroit, MI 48223 2018-02-06
1922516384 Cynthia Clair Reese Nursing Home Administrator 22625 Glendale, Det, MI 48223 2018-01-18
1629590609 Marie Davis Nursing Care 14049 Minock St, Detroit, MI 48223 2017-07-12
1740726488 Tanisha Smith Behavior Technician 14620 Faust Ave, Detroit, MI 48223 2017-01-18
1518418730 Tamica K Boyd Emergency Medical Technician, Basic 15890 Lamphere, Detroit, MI 48223 2016-10-24
1831596832 Walter Ector Counselor 14243 Minock, Detroit, MI 48223 2014-11-20
1336568542 Sheryl A Ali Registered Nurse 12811 Hazelton Street, Detroit, MI 48223 2014-04-15
1255667556 Abyssinia Love Knot Physical Therapy LLC Physical Medicine & Rehabilitation 15340 Southfield Freeway, Suite 1-a, Detroit, MI 48223 2009-10-22
1629243902 Glenda Faye Smith Massage Therapist 15041 Faust, Detroit, MI 48223 2008-04-28
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Taxonomy Information

Taxonomy Code 207V00000X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology

Taxonomy 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.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1992009955 Maurice-andre Recanati Obstetrics & Gynecology 4201 Saint Antoine St Ste 4c, Detroit, MI 48201-2153 2011-01-06
1194041830 Eberechukwu Jill Azumah Obstetrics & Gynecology 5960 Bedford St, Detroit, MI 48224-2651 2010-04-19
1134383508 Haider S Mahdi Obstetrics & Gynecology 3990 John R, 7 Brush North, Wayne State University/ Detroit Medical Center,obgyn, Detroit, MI 48201 2008-07-15
1609040484 Yhfmc PC Obstetrics & Gynecology 15266 Grand River Ave, Detroit, MI 48227-2213 2008-04-14
1619191954 F Seabrooks Obstetrics & Gynecology 19305 W 7 Mile Rd, Detroit, MI 48219-2718 2007-04-11
1326168188 Mary Ibe Obstetrics & Gynecology 3980 John R, Detroit, MI 48201 2007-03-29
1144365545 George W Gibson Obstetrics & Gynecology 15201 W Mcnichols Rd, Detroit, MI 48235-3717 2007-02-21
1780764712 Romeo H Tabbilos Obstetrics & Gynecology 3011 West Grand Boulevard, Suite 428, Detroit, MI 48202 2006-10-16
1497862189 Terry A Wynn Obstetrics & Gynecology 14103 Fenkell St, Detroit, MI 48227-3214 2006-08-25
1104856897 Ann R Gillett-elrington Obstetrics & Gynecology 13901 E Jefferson Ave, Detroit, MI 48215-2720 2006-07-05
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Competitor

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City DETROIT
Zip Code 48223

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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