PARK FAMILY HEALTH CARE, P.C. (NPI# 1437161437) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437161437 |
| Entity Type | Organization |
| Organization Name | PARK FAMILY HEALTH CARE, P.C. |
| Other Organization Name | PARK MEDICAL CENTERS |
| Practice Address |
12871 E Jefferson Ave Detroit MI 48215-2754 |
| Mailing Address |
28212 Franklin Rd Southfield MI 48034-1659 |
| Practice Telephone | 3138213900 |
| Practice Fax Number | 3138211511 |
| Mailing Telephone | 2483565555 |
| Mailing Fax Number | 2483565544 |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2020-05-18 |
| Authorized Official Name | JEFFREY HOWARD BROWN (CEO) |
| Authorized Official Telephone | 2483565555 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Park Medical Centers | Other Name - Individual/Organization |
| Street Address |
12871 E JEFFERSON AVE |
| City | DETROIT |
| State | MI |
| Zip Code | 48215-2754 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548252240 | Gloria Chaney | Family Medicine | 12871 E Jefferson Ave, Detroit, MI 48215-2754 | 2005-08-18 |
| 1720619091 | Sunshine Mental Health Care | Nurse Practitioner | 12871 E Jefferson Ave, Detroit, MI 48215-2754 | 2020-01-27 |
| 1730681735 | Kidds Comfort Transportation Services,llc | Driver | 12871 E Jefferson Ave, Detroit, MI 48215-2754 | 2018-03-06 |
| 1154854016 | Lenyie Ngbogbara | Pharmacist | 12871 E Jefferson Ave, Detroit, MI 48215-2754 | 2017-04-07 |
| 1144770652 | Abdul Ghani Fahd Mohammed | Dentist | 12871 E Jefferson Ave, Ste. C, Detroit, MI 48215-2754 | 2016-10-07 |
| 1871617290 | Stephen Thomas Holmes | Dentist | 12871 E Jefferson Ave, Ste C, Detroit, MI 48215-2754 | 2007-03-19 |
| 1710039383 | Baig Dental Group, P.C. | Dentist | 12871 E Jefferson Ave, Ste. C, Detroit, MI 48215-2754 | 2007-01-17 |
| 1447294970 | Kelly Gardiner | Nurse Practitioner | 12871 E Jefferson Ave, Detroit, MI 48215-2754 | 2006-06-15 |
| 1194770628 | Viraj V Shah | Dentist | 12871 E Jefferson Ave, Ste. C, Detroit, MI 48215-2754 | 2006-05-23 |
| 1801888565 | Richard M. Brown | Family Medicine | 12871 E Jefferson Ave, Detroit, MI 48215-2754 | 2005-08-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073035473 | Creative Empowerment Counseling Services, LLC | Community/Behavioral Health | 214 Manistique, Detroit, MI 48215 | 2017-07-07 |
| 1801323530 | Tanya Wade | Social Worker | 12800 E Warren, Detroit, MI 48215 | 2017-05-12 |
| 1992164289 | Juanita Johnson | Counselor | 13336-40 E. Warren Ave, Detroit, MI 48215 | 2016-02-16 |
| 1629476379 | Northeast Guidance Center | Community/Behavioral Health | 12800 Warren, Detroit, MI 48215 | 2014-12-11 |
| 1407253412 | Conner Pharmacy LLC | Pharmacy | 4673 Conner Street, Detroit, MI 48215 | 2014-11-20 |
| 1053734285 | Dawne Robinson | Counselor | 2995 Conner St, Detroit, MI 48215 | 2014-01-23 |
| 1790065357 | Michelle Miller | Counselor | 2900 Conner, Bldg. A, Detroit, MI 48215 | 2011-08-26 |
| 1710286836 | Northeast Guidance Center | Community/Behavioral Health | 2900 Conner St, Ste A, Detroit, MI 48215 | 2011-03-16 |
| 1871892992 | Lisa Nicole Marszalec | Counselor | 12800 East Warren Ave, Detroit, MI 48215 | 2011-03-16 |
| 1881845014 | Deborah A Caldwell | Nutritionist | 13340 E Warren, Detroit, MI 48215 | 2008-10-07 |
| Find all providers in zip 48215 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, 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 Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194354811 | Lorie Ann Turner | Family Medicine | 1728 Sheridan St, Detroit, MI 48214-2410 | 2020-04-04 |
| 1134787633 | Behavioral Health Professionals, Inc | Family Medicine | 19750 Burt Road, Detroit, MI 48219 | 2019-05-31 |
| 1508326687 | Randi Nguyen | Family Medicine | 22151 Moross Rd Ste 212, Detroit, MI 48236-2177 | 2019-03-23 |
| 1982194338 | Green Cross Medical Center PC | Family Medicine | 18041 Greenfield Rd, Detroit, MI 48235-3120 | 2018-05-11 |
| 1205339306 | Conant Family Care Pllc | Family Medicine | 3611 Carpenter St Ste 5, Detroit, MI 48212-2784 | 2018-03-14 |
| 1801303086 | St Mary Mercy Physician Practices | Family Medicine | 5555 Conner St Ste 2691, Detroit, MI 48213-3812 | 2018-01-09 |
| 1427408376 | Raquel Orlich | Family Medicine | 1620 Michigan Ave Ste 125, Detroit, MI 48216-1493 | 2016-06-21 |
| 1295181543 | Ammar Charestan | Family Medicine | 6071 Outer Dr W, Detroit, MI 48235 | 2016-05-05 |
| 1629423652 | Rajni Parmar | Family Medicine | 6001 W Outer Dr Ste 430, Detroit, MI 48235-2626 | 2016-04-27 |
| 1265886733 | Benjamin Abraham | Family Medicine | One Ford Place 2e, Henry Ford Hospital, Department of Family Medicine, Detroit, MI 48202 | 2016-04-20 |
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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.