Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1568715076 Individual Practitioner Male Practitioner

Michael Scott Bawks

Nurse Practitioner - Pediatrics • Royal Oak, MI

Professional Overview & Biography Verified Profile Summary

Michael Bawks is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in Royal Oak, MI. Practice services are available at 3555 W 13 MILE RD STE N300 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3555 W 13 Mile Rd Ste N300

Royal Oak, MI 480736710

Telephone 2485513302
Associated Practice Facility / Clinic
🏢 Botsford General Hospital Facility NPI 1114935566

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Royal Oak, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.0 Yrs
State Avg: 8.7 Yrs
Regional Practice Density
15 Specialists

Practicing in Royal Oak, MI (538 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-10-02
Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License MI 4704262600

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

12 Associated Practitioners
Elijah Hall

Genetic Counselor, MS

NPI 1033004833
Anne Marie Michon , NP

Nurse Practitioner - Pediatrics

NPI 1154364230

Nurse Practitioner

Dr. Elizabeth Leleszi , MD

Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology

NPI 1295900298

Doctor of Medicine (M.D.)

Sarah Frankl

Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology

NPI 1417521774
Gabrielle Roti , RN

Nurse Practitioner

NPI 1417689381

Registered Nurse

Marie Cassandre Vandervoord

Nurse Practitioner - Pediatrics

NPI 1487125829

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
📍
Updated Practice Location October 02, 2023

Registered at 3555 W 13 MILE RD STE N300, ROYAL OAK, MI 480736710 (Tel: 2485513302)

📍
Updated Business Mailing Address October 02, 2023

Registered at 26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 480333849 (Tel: 9475220688)

NPI Profile Active January 13, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location January 13, 2017

Registered at 3950 BEAUBIEN - 3RD FL, CHILDRENS HOSPITAL OF MI, DETROIT, MI 482012120 (Tel: 3138329220)

📍
Updated Business Mailing Address January 13, 2017

Registered at 4201 ST. ANTOINE UHC 5D MAILBOX# 226, UNIVERSITY PEDIATRICIANS, DETROIT, MI 482012153 (Tel: 3137454405)

👤
Provider Name / Credentials Updated January 13, 2017

Recorded as MICHAEL BAWKS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 13, 2017

Nurse Practitioner (License #4704262600 in MI)

NPI Profile Active November 24, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location November 24, 2015

Registered at 3950 BEAUBIEN ST FL 3, CHM SPECIALTY CTR., DETROIT, MI 482012120 (Tel: 3138329220)

📍
Updated Business Mailing Address November 24, 2015

Registered at 4201 ST. ANTOINE UHC 5D MAILBOX# 226, UNIVERSITY PEDIATRICIANS, DETROIT, MI 482012120 (Tel: 3139665051)

👤
Provider Name / Credentials Updated November 24, 2015

Recorded as MICHAEL BAWKS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 24, 2015

Nurse Practitioner (License #4704262600 in MI)

🟢
Initial NPI Registration & Enumeration October 22, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1568715076
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 22, 2012
Last Update: October 02, 2023
Sole Proprietor: No

Mailing Address

26901 Beaumont Blvd Ste 3d

Southfield, MI 480333849

Phone: 9475220688

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.