MMG 1PC – NPI #1205855186
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.

MMG 1PC is a provider located in WEST BLOOMFIELD, MI. NPPES has assigned the NPI number 1205855186 to MMG 1PC on July 19, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 8 years ago on Sep 20, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MMG 1PC below.

NPI Profile for
MMG 1PC

NPI Number
1205855186
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MMG 1PC
Primary location
7419 MIDDLEBELT RD
SUITE 4
WEST BLOOMFIELD, MI 48322-4182
Phone: (248) 855-2291 Fax: (248) 855-4901
Mailing address
29992 NORTHWESTERN HWY STE C
FARMINGTON HILLS, MI 48334-3292
Phone: (248) 851-1430 Fax: (248) 851-5182
Organization Subpart
No
Authorized Official
GEOFFREY TRIVAX
PRESIDENT
Phone: (313) 538-3099
Updated
Identifiers

Identifiers for MMG 1PC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBLUE SHIELD GROUPMI700F321510
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
207RC0000X
- Internal Medicine / Cardiovascular Disease

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.