PACIFIC HEALTH, P.C. (NPI# 1629183546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629183546 |
| Entity Type | Organization |
| Organization Name | PACIFIC HEALTH, P.C. |
| Practice Address |
649 E 12 Mile Rd Madison Heights MI 48071-2568 |
| Practice Telephone | 2485845590 |
| Practice Fax Number | 2485845591 |
| Mailing Telephone | 2485845590 |
| Mailing Fax Number | 2485845591 |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2013-01-31 |
| Authorized Official Name | DR. BENJAMIN NGUYEN (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 2485845590 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 4301070709 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4257639 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | PACIFIC HEALTH, PLLC | 1164 E Front St, Lynden, WA 98264-1655 |
| Street Address |
649 E 12 MILE RD |
| City | MADISON HEIGHTS |
| State | MI |
| Zip Code | 48071-2568 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710974951 | Benjamin Nguyen | Family Medicine | 649 E 12 Mile Rd, Madison Heights, MI 48071-2568 | 2005-10-03 |
| 1720556673 | Premier Home Health Solutions Inc | Home Health | 649 E 12 Mile Rd, Madison Heights, MI 48071-2568 | 2018-11-08 |
| 1083092803 | Premier Home Health Solutions Inc | Home Health | 649 E 12 Mile Rd, Madison Heights, MI 78071 | 2015-05-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952918831 | United Medical Laboratory LLC | Clinical Medical Laboratory | 30675 Stephenson Hwy, Suite B, Madison Heights, MI 48071 | 2020-09-25 |
| 1033776372 | Terry Ky-sieu Tran | Student in an Organized Health Care Education/Training Program | 27351 Dequindre Rd., Madison Height, MI 48071 | 2019-05-22 |
| 1942865894 | Jordan Lee Stav | Student in an Organized Health Care Education/Training Program | Sjmo Emergency Medicine Residency Program, 27351 Dequindre Rd, Madison Heights, MI 48071 | 2019-05-07 |
| 1538624960 | Holistic Therapy Institute Physical Therapy, Inc. | Physical Therapist | 30201 Dequidre Rd Suite1, Madison Hts, MI 48071 | 2019-02-11 |
| 1720558216 | Kevin Luce | Physical Therapy Assistant | 1433 E 12 Mile Road, Madison Heights, MI 48071 | 2018-11-28 |
| 1861974297 | Olubunmi Oluremi Aluko | Physical Therapist | 1410 E.14 Mile Road, Madison Heights, MI 48071 | 2018-09-01 |
| 1558859579 | Leslie G Lafer, Dopllc | Obstetrics & Gynecology | 1437 E 12 Mile Road, Building D, Madison Heights, MI 48071 | 2018-04-25 |
| 1588161020 | Daniel Eugene Geer | Physical Therapist | 1410 E 14 Mile Road, Madison Heights, MI 48071 | 2018-04-11 |
| 1881100931 | Medshop Pharmacy LLC | Pharmacy | 30549 Stephenson Hwy Ste B, Madison Heights, MI 48071 | 2017-12-26 |
| 1730602004 | Ali Bazzy | Nurse Practitioner | 27483 Dequindre Suite 304, Madison Hgts, MI 48071 | 2017-07-19 |
| Find all providers in zip 48071 | ||||
| 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 |
|---|---|---|---|---|
| 1306133863 | Randall Colvin | Family Medicine | 27483 Dequindre Rd Ste 303, Madison Heights, MI 48071-5715 | 2011-07-06 |
| 1225110737 | Central Virginia Family Physicians Inc | Family Medicine | 200 Amelon Sq, Madison Heights, VA 24572-5981 | 2006-10-20 |
| 1598715971 | Peter George Tucker | Family Medicine | 655 W 13 Mile Rd, Madison Heights, MI 48071-1850 | 2006-05-10 |
| 1154380129 | Tara J Caudill-deaton | Family Medicine | 1200 W 12 Mile Rd, Madison Heights, MI 48071-4439 | 2006-03-20 |
| 1336127323 | Thomas Elroy Dobyns | Family Medicine | 4579 S Amherst Hwy, Madison Heights, VA 24572-5343 | 2006-01-09 |
| 1952385700 | James S Lewerenz | Family Medicine | 1467 E 12 Mile Rd, Madison Heights, MI 48071-2653 | 2005-12-05 |
| 1487638771 | Michelle Glazer-zucker | Family Medicine | 1385 E 12 Mile Rd, Suite 100, Madison Heights, MI 48071-2602 | 2005-12-01 |
| 1679555361 | Frank G Garcia | Family Medicine | 4262 S Amherst Hwy, Madison Heights, VA 24572-5363 | 2005-11-17 |
| 1760473094 | Robert T Hasbany | Family Medicine | 28200 John R Rd, Madison Heights, MI 48071-2814 | 2005-11-04 |
| 1710974951 | Benjamin Nguyen | Family Medicine | 649 E 12 Mile Rd, Madison Heights, MI 48071-2568 | 2005-10-03 |
| Find all providers in MADISON HEIGHTS | ||||
| City | MADISON HEIGHTS |
| Zip Code | 48071 |
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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.