PRIME GARDEN CITY MEDICAL GROUP (NPI# 1427208537) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427208537 |
| Entity Type | Organization |
| Organization Name | PRIME GARDEN CITY MEDICAL GROUP |
| Other Organization Name | CENTER FOR SPORTS AND FAMILY MEDICINE |
| Practice Address |
35600 Central City Pkwy Suite 104 Westland MI 48185-2046 |
| Practice Telephone | 7342613778 |
| Practice Fax Number | 7345240981 |
| Mailing Telephone | 7342613778 |
| Mailing Fax Number | 7345240981 |
| Enumeration Date | 2008-09-25 |
| Last Update Date | 2017-04-12 |
| Authorized Official Name | MR. JOHN F MAGNUSON (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 7344584490 |
| Is Organization Subpart | Y |
| Parent Organization Name | PRIME GARDEN CITY MEDICAL GROUP |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Center for Sports and Family Medicine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548802218 | Prime Garden City Medical Group | Internal Medicine | 6255 Inkster Rd Ste 302, Garden City, MI 48135-2538 | 2019-10-14 |
| 1508072729 | Prime Garden City Medical Group | Family Medicine | 30730 Ford Road, Garden City, MI 48135 | 2007-05-15 |
| 1437371739 | Prime Garden City Medical Group | Obstetrics & Gynecology | 6255 Inkster Road, Suite 203, Garden City, MI 48135 | 2007-05-03 |
| 1639391808 | Prime Garden City Medical Group | Internal Medicine | 8012 Middlebelt Road, Westland, MI 48185 | 2007-05-03 |
| 1033505110 | Prime Garden City Medical Group | Internal Medicine | 4190 24th Ave, Suite 206, Fort Gratiot, MI 48059-3882 | 2015-04-15 |
| 1598179954 | Prime Garden City Medical Group | Family Medicine | 6245 Inkster Rd, Garden City, MI 48135-4001 | 2014-06-13 |
| 1104163013 | Prime Garden City Medical Group | Obstetrics & Gynecology | 6221 N Telegraph Rd, Dearborn Heights, MI 48127-3222 | 2013-01-11 |
| 1023295722 | Prime Garden City Medical Group | Internal Medicine | 6255 Inkster Rd, Suite 101, Garden City, MI 48135-2577 | 2008-01-24 |
| 1538380621 | Prime Garden City Medical Group | Obstetrics & Gynecology | 30730 Ford Rd, Garden City, MI 48135-1803 | 2007-05-02 |
| 1063512010 | Prime Garden City Medical Group | Nuclear Medicine | 6245 Inkster Rd, Garden City, MI 48135-4001 | 2006-09-22 |
| Street Address |
35600 CENTRAL CITY PKWY SUITE 104 |
| City | WESTLAND |
| State | MI |
| Zip Code | 48185-2046 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245226273 | Donald R Cox | Internal Medicine | 35600 Central City Pkwy, Suite 101, Westland, MI 48185-2046 | 2005-09-26 |
| 1578905956 | Donald Smith, Pllc | Emergency Medicine | 35600 Central City Pkwy, Westland, MI 48185-2046 | 2013-07-25 |
| 1538358742 | Marshall Medley, D.o., P.C. | Surgery | 35600 Central City Pkwy, Suite 101, Westland, MI 48185-2046 | 2007-10-24 |
| 1144427907 | Louis C. Tegtmeyer, D.o. P.C. | Surgery | 35600 Central City Pkwy, Suite 101, Westland, MI 48185 | 2007-06-27 |
| 1225138340 | Marshall Kevin Medley | Surgery | 35600 Central City Pkwy, Suite 101, Westland, MI 48185-2046 | 2006-09-25 |
| 1730113622 | Cathryn Christine Mcglynn | Physician Assistant | 35600 Central City Pkwy, Suite 100, Westland, MI 48185-2046 | 2006-07-10 |
| 1154301570 | Milton Arnold Raskin | Family Medicine | 35600 Central City Pkwy, Suite #102, Westland, MI 48185-2046 | 2006-01-20 |
| 1780660480 | Stanley J Sczecienski | Family Medicine | 35600 Central City Pkwy, Suite 104, Westland, MI 48185-2046 | 2005-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457821084 | Kimberly L Traver | Nurse Practitioner | 6149 N. Wayne Road, Westland, MI 48185 | 2018-11-27 |
| 1710456421 | Infinity Physical Therapy | Occupational Therapy Assistant | 36413 Warren Road, Westland, MI 48185 | 2018-11-26 |
| 1770071391 | Woodcrest Rx LLC. | Pharmacy | 8301 North Wayne Rd., Westland, MI 48185 | 2018-04-30 |
| 1922522952 | Regina Amadi | Pharmacist | 30785 Ann Arbor Trail, Westland, MI 48185 | 2017-08-01 |
| 1811417637 | Jacob Davis Adams | Specialist/Technologist | 34610 Parkgrove, Westland, MI 48185 | 2017-06-22 |
| 1336677533 | Mark Brian Beathard | Counselor | 8623 N. Wayne Road, Suite 310, Adult Outpatient Services for Smi, Westland, MI 48185 | 2017-06-01 |
| 1164965240 | Murray Dalton | Social Worker | 8623 N. Wayne Rd, Suite 310, Westland, MI 48185 | 2016-11-22 |
| 1962953505 | Krishaun Harris | Technician, Other | 8181 N.wayne Rd, Apt.2131, Westland, MI 48185 | 2016-10-19 |
| 1417408089 | Joseph E Silver Dpm PC | Podiatrist | 35337 W Warren Ave, Westland, MI 48185 | 2016-10-19 |
| 1043769813 | Joy Hix Pharmacy LLC | Pharmacy | 38409 Joy Rd, Westland, MI 48185 | 2016-09-22 |
| Find all providers in zip 48185 | ||||
| Taxonomy Code | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013413236 | Sports and Regenerative Medicine Pllc | Family Medicine | 526 W Genesee St Ste 3, Frankenmuth, MI 48734-1357 | 2018-04-05 |
| 1982138442 | Stephen Michael Spadafore | Family Medicine | 2951 Earhart Rd, Ann Arbor, MI 48105-9728 | 2017-04-11 |
| 1447606801 | Central Michigan University | Family Medicine | Cmu Sports Medicine, Rose 100, Mt Pleasant, MI 48859-0001 | 2016-05-04 |
| 1962808162 | Mclaren Greater Lansing | Family Medicine | 2479 Woodlake Cir, Suite 340, Okemos, MI 48864 | 2014-11-15 |
| 1306080213 | Caroline E Beall | Family Medicine | 11160 Wj Presley Pkwy Ste 100, Allendale, MI 49401-8075 | 2009-04-22 |
| 1104038629 | Robert Edward Poley | Family Medicine | 15959 Hall Rd Ste 405, Macomb, MI 48044 | 2007-05-04 |
| 1063563187 | Lee Stephen Fruman | Family Medicine | 24670 S Cromwell Dr, Franklin, MI 48025-1644 | 2007-01-15 |
| 1366505802 | Sports Medicine Associates,plc | Family Medicine | 3121 University Dr, Ste 140, Auburn Hills, MI 48326-2385 | 2006-12-18 |
| 1538220561 | Thomas K Jamieson | Family Medicine | 2720 Pleasant Grove Rd, Lansing, MI 48910-2410 | 2006-12-13 |
| 1366550105 | D-care PC | Family Medicine | 25932 Dequindre Rd, Suite C, Warren, MI 48091-1071 | 2006-08-29 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.