Healthcare Provider Details

I. General information

NPI: 1174273916
Provider Name (Legal Business Name): SAFEYA THOMPSON DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SAFEYA CHAPLIN

II. Dates (important events)

Enumeration Date: 03/25/2022
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3601 W 13 MILE RD
ROYAL OAK MI
48073-6712
US

IV. Provider business mailing address

18571 PIERRE DR
CLINTON TWP MI
48038-1266
US

V. Phone/Fax

Practice location:
  • Phone: 248-898-5000
  • Fax:
Mailing address:
  • Phone: 954-203-2658
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number5101029464
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberOS23705
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberUO8400
License Number StateFL
# 4
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number5101029464
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: