SOUTHFIELD FAMILY PHYSICIANS, PLLC (NPI# 1720118037) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720118037 |
| Entity Type | Organization |
| Organization Name | SOUTHFIELD FAMILY PHYSICIANS, PLLC |
| Practice Address |
22972 Lahser Rd Southfield MI 48034-4408 |
| Mailing Address |
22972 Lahser Rd Southfield MI 48033-4408 |
| Practice Telephone | 2483534777 |
| Practice Fax Number | 2483534235 |
| Mailing Telephone | 2483534777 |
| Mailing Fax Number | 2483534235 |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2012-02-28 |
| Authorized Official Name | MS. JACKIE GABBANAJAN (OFFICE MANAGER) |
| Authorized Official Telephone | 2423534777 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MJ034283 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBS | 080F375520 | 01 |
| MI | 4102457 | 05 |
| Street Address |
22972 LAHSER RD |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48034-4408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528015427 | Latha Thiruchelvan Kannan | Internal Medicine | 22972 Lahser Rd, Southfield, MI 48034-4408 | 2006-05-27 |
| 1366808438 | Optimal Consultants Group, LLC | Internal Medicine | 22972 Lahser Rd, Southfield, MI 48033-4408 | 2016-01-05 |
| 1437538626 | Miller Rehabilitation Physicians, PC | Physical Medicine & Rehabilitation | 22972 Lahser Rd, Southfield, MI 48033-4408 | 2015-05-21 |
| 1508244567 | Rehab Physicians of Metro Detroit | Physical Medicine & Rehabilitation | 22972 Lahser Rd, Southfield, MI 48033-4408 | 2015-05-11 |
| 1255629655 | Tamara Terry-yousif Acho | Internal Medicine | 22972 Lahser Rd, Southfield, MI 48033-4408 | 2011-07-19 |
| 1982990289 | Pauline Cichon | Physical Medicine & Rehabilitation | 22972 Lahser Rd, Southfield, MI 48033-4408 | 2011-06-24 |
| 1730480203 | Kap3 Co | Pharmacy | 22972 Lahser Rd, Southfield, MI 48033-4408 | 2010-11-15 |
| 1780850560 | Sarmad Al-mansour, Md, PC | Internal Medicine | 22972 Lahser Rd, Southfield, MI 48033 | 2008-05-01 |
| 1063605954 | Janadharn Inc | Pharmacy | 22972 Lahser Rd, Southfield, MI 48033-4408 | 2007-08-23 |
| 1689706525 | Stanislav Zinkovsky | Occupational Therapist | 22972 Lahser Rd, Southfield, MI 48033-4408 | 2007-03-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780219196 | I. R. Horn & Associates LLC | Community/Behavioral Health | 29623 Norhtwestern Hwy Suite 5, Southfield, MI 48034 | 2020-03-05 |
| 1003378753 | Alexis Shivers | Physical Therapy Assistant | 27500 Lahser Rd, Southfield, MI 48034 | 2019-04-02 |
| 1598257768 | El-abbadi Pediatric Clinic | Pediatrics | 24676 Lahser Road, Southfield, MI 48034 | 2018-06-04 |
| 1689166894 | Recore Rehabilitation Services | Clinic/Center | 25899 W 12 Mile Rd # 340, Southfield, MI 48034 | 2018-06-04 |
| 1578063749 | El-abbadi Healthcare Center | Clinic/Center | 27403 Lahser Rd, Southfield, MI 48034 | 2018-02-14 |
| 1063924819 | Diagnostic Hematology, PC | Clinical Medical Laboratory | 24725 W. Twelve Mile Road, Suite 118, Southfield, MI 48034 | 2017-11-02 |
| 1962929125 | Toms Holistic Home Visits Pllc | Clinic/Center | 28675 Franklin Rd, Suite 217, Southfield, MI 48034 | 2017-08-28 |
| 1265956940 | Abbadi Healthcare | Pharmacy | 27402 Lahser Road, Southfield, MI 48034 | 2017-08-03 |
| 1720517113 | Theramedic Home Health Care LLC | Home Health | 26400 W. 12 Mile Rd, Suite 80, Southfield, MI 48034 | 2017-06-08 |
| 1538695804 | Adrienne Rutherford | Occupational Therapist | 25999 Franklin Pointe Dr, Southfield, MI 48034 | 2017-05-05 |
| Find all providers in zip 48034 | ||||
| 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 | 48034 |
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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.