OrganizationActive
Vernor Pediatric PC
NPI 1073010625 · Pediatric Adolescent Medicine Physician · Detroit, MI
Provider details
- NPI number
- 1073010625
- Entity type
- Organization
- Primary specialty
- Pediatric Adolescent Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Karmo Pediatric Center
- Organization subpart
- Yes
- Authorized official
- Teresa Ball, Cpc(734) 839-6610
- License
- NK069655 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4607 W Vernor Hwy
Detroit, MI 48209-2117
Phone: (313) 554-3300
Fax: (313) 554-3303
Street-level locationGet directions
Mailing address
26206 W 12 Mile Rd Ste 106
Southfield, MI 48034-1799
Other names (DBA / former)
- Former legal business name
- Karmo Pediatric Center
Registry dates
- Enumerated
- 2018-04-10
- Last updated
- 2021-06-10
- Certified
- 2021-06-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.