Elizabeth Ann Secord

MD | Pediatric Allergy-Immunology | Female

---

Complete Profile:

Elizabeth Ann Secord basic information including her official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Allergy/Immunology
Provider Name :	Elizabeth Ann Secord
Credential :	MD
Gender :	Female

Business Address:

Elizabeth Ann Secord address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	3950 Beaubien - 3rd Fl, Children's Hospital Of Mi Detroit, MI, 48201 United States
Phone Number :	313-832-8550
Fax Number :	313-993-8685

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1548207541
NPI Entity Type :	Individual
First Enrolment Date :	31 May, 2006
Last Updated On :	13 Jan, 2017

Medicare Participation:

Elizabeth Ann Secord participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	0446310114
Medicare Enrollment ID :	I20081125000732
Primary Specialty :	Allergy/immunology
Medical School :	Other
Graduation Year :	1988
Accepts Medicare?	Yes. Elizabeth Ann Secord accepts medicare insurance.

Group Practice Association:

Elizabeth Ann Secord is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Elizabeth Ann Secord is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Wayne Pediatrics, Inc	4486062122	4	400 Mack Ave Suite 1 Detroit, MI - 482012136 Ph: 3134489600	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Elizabeth Ann Secord are as mentioned. Primary taxonomy code for Elizabeth Ann Secord, MD is 2080P0201X (Pediatrics Pediatric Allergy/Immunology).

Taxonomy Code	Speciality	Primary	License No.	State
208000000X	Pediatrics	No	4301070662	MI
2080P0201X	Pediatrics Pediatric Allergy/Immunology	Yes	4301070662	MI

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	4201 St. Antoine - Uhc 5d Mailbox 226, University Pediatricians Detroit, MI, 48201-2153 United States
Phone Number :	313-745-4405
Fax Number :	313-966-0665

Business Location:

Patients can refer following map for directions to Elizabeth Ann Secord practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.