Bethany Park, PA-C
NPI 1114781747 · Physician Assistant · Southfield, MI
Bethany Park, PA-C is a Physician Assistant provider in Southfield, MI (NPI 1114781747).
Provider details
- NPI number
- 1114781747
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- Yes
- License
- 5601012241 (MI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
Mailing address
Registry dates
- Enumerated
- 2024-02-13
- Last updated
- 2024-02-13
- Certified
- 2024-02-13
Frequently asked questions
- What is Bethany Park's NPI number?
- Bethany Park's National Provider Identifier (NPI) is 1114781747, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Bethany Park's specialty?
- Bethany Park is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Bethany Park located?
- Bethany Park's practice location on file with NPPES is 27177 Lahser Rd, Southfield, MI 48034-4714.
- What is Bethany Park's phone number?
- The practice phone number listed in the NPPES registry for Bethany Park is (989) 277-6478.
- Is Bethany Park's NPI active?
- Yes — Bethany Park's NPI (1114781747) is active in the NPPES registry as of the last update on 2024-02-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.