| NPI | 1174511125 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2005-10-12 |
| Last Updated | 2013-11-08 |
| Mailing Address | 110 East Third Street Davison, MI 48423 United States Phone: (810) 412-5437 | Fax: (810) 412-5448 📍 View Map |
| Primary Practice Address | 110 East Third Street Davison, MI 48423 United States Phone: (810) 412-5437 | Fax: (810) 412-5448 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| Other (non-Medicare) | MI | 253067 | Health Advantage Network |
| Other (non-Medicare) | MI | 253067 | McLaren Health Plan |
| Other (non-Medicare) | MI | 3502505081 | Blue Cross Blue Shield |
| Other (non-Medicare) | MI | 350D410030 | Blue Cross Blue Shield |
| Other (non-Medicare) | MI | 350D410030 | Blue Care Network |
| Other (non-Medicare) | MA | 370018374 | MetraHealth |
| MEDICAID | MI | 4206451 | - |
| Other (non-Medicare) | MI | 4475609 | Aetna |
| Other (non-Medicare) | MI | 6824734009 | CIGNA |
| Other (non-Medicare) | MI | C7478 | MCARE |
| Other (non-Medicare) | MI | F78643 | Health Alliance Plan |
| Other (non-Medicare) | MI | F78643 | Heatlh Net Federal Serv |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 208000000X – Pediatrics | MI | 4301075399 |
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About NPI 1174511125
Kenneth E. Vobach MD is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1174511125. The primary specialty listed is Pediatrics. The provider is located in Davison, MI. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2005-10-12. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1174511125?
NPI 1174511125 belongs to Kenneth E. Vobach MD, a Pediatrics in Davison, MI. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1174511125 active?
The current status of NPI 1174511125 in the NPPES registry is Active. The record was last updated on 2013-11-08.
What specialty is NPI 1174511125?
NPI 1174511125 is classified under the taxonomy Pediatrics. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1174511125?
You can verify NPI 1174511125 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1174511125?
The primary practice address on file for NPI 1174511125 is 110 East Third Street, Davison, MI 48423. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1174511125 issued?
NPI 1174511125 was first issued (enumerated) on 2005-10-12. The NPPES record was last updated on 2013-11-08.
Practice Location Map
Kenneth E. Vobach is located at 110 East Third Street, Davison, MI. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Kenneth E. Vobach. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1174511125. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Pediatrics | 4301075399 | MI |