FAMILY MEDICINE PC – NPI #1417921628
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.

FAMILY MEDICINE PC is a provider located in SOUTHFIELD, MI. NPPES has assigned the NPI number 1417921628 to FAMILY MEDICINE PC on February 14, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. 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 14 years ago on Jan 18, 2012. 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 FAMILY MEDICINE PC below.

NPI Profile for
FAMILY MEDICINE PC

NPI Number
1417921628
Enumeration Date

(more than 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
FAMILY MEDICINE PC
Primary location
29255 NORTHWESTERN HWY
SUITE 203
SOUTHFIELD, MI 48034-1018
Phone: (248) 557-0535 Fax: (248) 557-6145
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
RODRIGO TOBAR
SECRETARY/TREASURER
Phone: (248) 557-0535
Updated
Identifiers

Identifiers for FAMILY MEDICINE PC

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.

See identifiers
DescriptionIssuerStateIdentifier
OTHERBCBSMI080F364760
OTHERDETROIT MEDICAL CENTERMI008750
OTHERPALMETTO GBAMI080165831
OTHERPIN NUMBERMI0638787
OTHERPIN NUMBERMI5630421
MEDICAIDMI2691080
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)
MI RT008998

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.