MEDICINA URBANA WEST VERNOR PLLC – NPI #1740793777
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

MEDICINA URBANA WEST VERNOR PLLC is a provider located in DETROIT, MI. NPPES has assigned the NPI number 1740793777 to MEDICINA URBANA WEST VERNOR PLLC on November 13, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 8 years ago on May 15, 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 MEDICINA URBANA WEST VERNOR PLLC below.

NPI Profile for
MEDICINA URBANA WEST VERNOR PLLC

NPI Number
1740793777
Enumeration Date

(more than 8 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
MEDICINA URBANA WEST VERNOR PLLC
Primary location
5700 W VERNOR HWY
DETROIT, MI 48209
Phone: (313) 586-3066 Fax: (313) 586-3165
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MARK BEARD
MEMBER
Phone: (313) 281-1362
Updated
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
208D00000X
- General Practice (Primary)
MI 5101017883

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.