MEDICAL SERVICES OF DETROIT PC (NPI# 1821296815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821296815 |
| Entity Type | Organization |
| Organization Name | MEDICAL SERVICES OF DETROIT PC |
| Other Organization Name | GREENFIELD MEDICAL URGENT CARE |
| Practice Address |
24261 Greenfield Rd Suite A Southfield MI 48075-3117 |
| Practice Telephone | 2485699523 |
| Practice Fax Number | 2485699529 |
| Mailing Telephone | 2485699523 |
| Mailing Fax Number | 2485699529 |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2007-07-11 |
| Authorized Official Name | VIRGIL LUZ (FINANCIAL CONTROLLER) |
| Authorized Official Telephone | 2485699523 |
| Is Organization Subpart | Y |
| Parent Organization Name | MEDICAL SERVICES OF DETROIT PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 4301041657 | MI | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | 4301086699 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBSM PIN | 0F33548 | 01 |
| Other Name | Type Code |
|---|---|
| Greenfield Medical Urgent Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821177163 | Medical Services of Detroit PC | Family Medicine | 24261 Greenfield Rd # A, Southfield, MI 48075-3117 | 2006-11-06 |
| Street Address |
24261 GREENFIELD RD SUITE A |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48075-3117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912954488 | Indira Sawhney | Family Medicine | 24261 Greenfield Rd, Southfield, MI 48075-3117 | 2006-05-28 |
| 1871045039 | Rashad Aziz | Physical Therapist | 24261 Greenfield Rd, Southfield, MI 48075-3117 | 2016-11-03 |
| 1770035875 | Medical Services of Detroit, PC | Family Medicine | 24261 Greenfield Rd, Southfield, MI 48075-3117 | 2016-10-25 |
| 1972053098 | Jacita Greve | Nurse Practitioner | 24261 Greenfield Rd, Southfield, MI 48075-3117 | 2016-10-12 |
| 1043543200 | Greenfield Medical Pharmacy LLC | Pharmacy | 24261 Greenfield Rd, Southfield, MI 48075-3117 | 2009-09-04 |
| 1841467420 | Detroit Medical Care PC | Internal Medicine | 24261 Greenfield Rd, Suite B, Southfield, MI 48075-3117 | 2008-05-13 |
| 1578759973 | Ejaz A Chaudhry | Physical Therapist | 24261 Greenfield Rd, Suite B, Southfield, MI 48075-3117 | 2007-09-19 |
| 1053517094 | Ernest Wolverton | Preventive Medicine | 24261 Greenfield Rd, Southfield, MI 48075-3117 | 2007-06-26 |
| 1851519433 | Carmen Cardona | Family Medicine | 24261 Greenfield Rd, Southfield, MI 48075-3117 | 2007-04-21 |
| 1356420731 | Michigan Rehabilitation & Physical Therapy LLC | Physical Therapist | 24261 Greenfield Rd, Suite # B, Southfield, MI 48075-3117 | 2006-11-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851900054 | K&b Medical Wigs, LLC | Durable Medical Equipment & Medical Supplies | 16250 Northland Dr. Ste 221, Southfield, MI 48075 | 2020-07-24 |
| 1790300390 | Julian Jeberaeel | Radiology | 2250 Providence, Southfield, MI 48075 | 2020-06-10 |
| 1265056410 | Husein Yusuf Husein | Podiatrist | Ascension Providence Hospital Southfield Campus, 16001 W. Nine Mile Rd. Depaul 2nd Floor, Southfield, Mi, MI 48075 | 2020-06-03 |
| 1952945420 | Paris Straughter | Nurse Practitioner | 18438 Onyx St, Southfield, MI 48075 | 2019-10-29 |
| 1811467657 | Medicine Man Medical, Pllc | Physical Medicine & Rehabilitation | 25130 Southfield Road, Suite #210, Southfield, MI 48075 | 2018-12-04 |
| 1447725528 | Rommel Ramos Perez | Physical Therapist | 26017 Greenfield Rd., Southfield, MI 48075 | 2018-10-04 |
| 1073009627 | Jacqueline Venora Goodgame | Licensed Practical Nurse | 4000 Town Ctr, Southfield, MI 48075 | 2018-07-06 |
| 1043712532 | Hollie Marie Maltese | Physical Therapy Assistant | 22255 Greenfiled 118, Southfield, MI 48075 | 2018-03-01 |
| 1932601481 | Katie Marie Mccormack | Occupational Therapist | 16001 West Nine Mile Rd., Southfield, MI 48075 | 2018-03-01 |
| 1801304241 | Absolute Hc LLC | Physical Therapist | 23461 Greenfield Rd Ste 200b, Southfield, MI 48075 | 2018-01-19 |
| Find all providers in zip 48075 | ||||
| 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 |
|---|---|---|---|---|
| 1699398081 | Natalie Bacheldor | Family Medicine | 22250 Providence Drive Suite 557, Southfield, MI 48075-4818 | 2020-05-20 |
| 1346806734 | Michigan Visiting Physician Services, Inc | Family Medicine | 21751 W 11 Mile Rd Ste 204, Southfield, MI 48076-3779 | 2019-05-12 |
| 1174031942 | Providence Homecare Providers Pllc | Family Medicine | 25511 Southfield Rd Ste 118, Southfield, MI 48075-1830 | 2018-01-16 |
| 1225567944 | Bilal Tarek Malek | Family Medicine | 23648 Lahser Rd, Southfield, MI 48033-3250 | 2017-06-06 |
| 1457894461 | Residential Physicians Association, Pllc | Family Medicine | 28300 Franklin Rd Ste 100, Southfield, MI 48034-1657 | 2016-11-22 |
| 1194104885 | Lorenzo Ray Mata Lim | Family Medicine | 23077 Greenfield Rd Ste 195, Southfield, MI 48075-3750 | 2015-05-27 |
| 1194147959 | Premier Family Medicine Pllc | Family Medicine | 23031 Wrexford Dr, Southfield, MI 48033-6575 | 2014-01-14 |
| 1306195730 | Southfield Family Practice Pllc | Family Medicine | 22972 Lahser Road, Southfield, MI 48033 | 2012-08-30 |
| 1760745434 | Latoya Tamara Austin | Family Medicine | 22250 Providence Dr Ste 557, Southfield, MI 48075-4825 | 2012-06-19 |
| 1508124082 | Thomas Mays Md, PC | Family Medicine | 20905 Greenfield Rd Ste 201, Southfield, MI 48075-5346 | 2012-05-02 |
| Find all providers in SOUTHFIELD | ||||
| City | SOUTHFIELD |
| Zip Code | 48075 |
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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.