MY VISITING PHYSICIANS PC (NPI# 1740512201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740512201 |
| Entity Type | Organization |
| Organization Name | MY VISITING PHYSICIANS PC |
| Practice Address |
20755 Greenfield Rd Suite 100a Southfield MI 48075 |
| Practice Telephone | 2489462050 |
| Mailing Telephone | 2489462050 |
| Enumeration Date | 2010-02-09 |
| Last Update Date | 2011-04-29 |
| Authorized Official Name | JONATHAN AGBEBIYI (OWNER) |
| Authorized Official Telephone | 2489462050 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
4301041053 | MI | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | 4301041053 | MI | Allopathic & Osteopathic Physicians |
| Y | 208D00000X | General Practice | 4301041053 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
20755 GREENFIELD RD SUITE 100A |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48075 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053310128 | Laz Medical Group PC | Family Medicine | 20755 Greenfield Rd, #1101, Southfield, MI 48075-5403 | 2005-07-20 |
| 1316467319 | Enlightened Medical Home Visit Pllc | Clinic/Center | 20755 Greenfield Rd, Suite 803, Southfield, MI 48075 | 2017-06-21 |
| 1245764737 | Sharon Blackshire-tubie | Nurse Practitioner | 20755 Greenfield Rd, #203, Southfield, MI 48075-5403 | 2017-04-12 |
| 1487198255 | Monique R Clark | Nurse Practitioner | 20755 Greenfield Rd, Suite 100, Southfield, MI 48075-5403 | 2016-12-13 |
| 1376094268 | Therahealth Physio Therapy | Preferred Provider Organization | 20755 Greenfield Rd, Suite 602, Southfield, MI 48075-5403 | 2016-10-17 |
| 1528518511 | Progressive Rehab Services, Inc. | Clinic/Center | 20755 Greenfield Rd, Ste 200, Southfield, MI 48075-5403 | 2016-10-13 |
| 1265982466 | Uche Obua | Nurse Practitioner | 20755 Greenfield Rd, Southfield, MI 48075-5403 | 2016-10-12 |
| 1831543768 | Metro Mobility, LLC | Non-emergency Medical Transport (VAN) | 20755 Greenfield Rd, Ste 810, Southfield, MI 48075 | 2016-04-18 |
| 1992183875 | Mobility Home Health Care Inc | Home Health | 20755 Greenfield Rd, Suite 202, Southfield, MI 48075-5403 | 2015-05-12 |
| 1114330966 | Kinetix Rehab Services, Inc. | Clinic/Center | 20755 Greenfield Rd, Southfield, MI 48075-5403 | 2014-06-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851900054 | K&b Medical Wigs, LLC | Durable Medical Equipment & Medical Supplies | 16250 Northland Dr. Ste 221, Southfield, MI 48075 | 2020-07-24 |
| 1790300390 | Julian Jeberaeel | Radiology | 2250 Providence, Southfield, MI 48075 | 2020-06-10 |
| 1265056410 | Husein Yusuf Husein | Podiatrist | Ascension Providence Hospital Southfield Campus, 16001 W. Nine Mile Rd. Depaul 2nd Floor, Southfield, Mi, MI 48075 | 2020-06-03 |
| 1952945420 | Paris Straughter | Nurse Practitioner | 18438 Onyx St, Southfield, MI 48075 | 2019-10-29 |
| 1811467657 | Medicine Man Medical, Pllc | Physical Medicine & Rehabilitation | 25130 Southfield Road, Suite #210, Southfield, MI 48075 | 2018-12-04 |
| 1447725528 | Rommel Ramos Perez | Physical Therapist | 26017 Greenfield Rd., Southfield, MI 48075 | 2018-10-04 |
| 1073009627 | Jacqueline Venora Goodgame | Licensed Practical Nurse | 4000 Town Ctr, Southfield, MI 48075 | 2018-07-06 |
| 1043712532 | Hollie Marie Maltese | Physical Therapy Assistant | 22255 Greenfiled 118, Southfield, MI 48075 | 2018-03-01 |
| 1932601481 | Katie Marie Mccormack | Occupational Therapist | 16001 West Nine Mile Rd., Southfield, MI 48075 | 2018-03-01 |
| 1801304241 | Absolute Hc LLC | Physical Therapist | 23461 Greenfield Rd Ste 200b, Southfield, MI 48075 | 2018-01-19 |
| Find all providers in zip 48075 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275184921 | Home Physicians Group Inc | General Practice | 18481 W 10 Mile Rd Ste 102, Southfield, MI 48075-2621 | 2019-09-24 |
| 1174993174 | Elizer Garcia | General Practice | 23999 Northwestern Hwy Ste 114, Southfield, MI 48075 | 2015-10-02 |
| 1487998332 | Continental Wellness Inc | General Practice | 29610 Southfield Rd Ste 250, Southfield, MI 48076-2000 | 2012-11-15 |
| 1699025874 | Visiting Md, LLC | General Practice | 15700 Providence Dr, Suite 400, Southfield, MI 48075-3144 | 2012-09-14 |
| 1922304088 | First Care Center Inc | General Practice | 18610 W 8 Mile Rd, Southfield, MI 48075-4126 | 2011-02-07 |
| 1457681074 | Gwendolyn Washington M.d. Professional Corporation | General Practice | 29255 Northwestern Hwy Ste 105, Southfield, MI 48034-5740 | 2010-01-04 |
| 1497856470 | Jose Castroramirez | General Practice | 29350 Southfield Ste 101, Southfield, MI 48076 | 2006-09-25 |
| 1346347523 | Home Physician Services PC | General Practice | 17520 W 12 Mile Rd Ste 109, Southfield, MI 48076-1907 | 2006-09-20 |
| 1396721510 | Allan Birk | General Practice | 27774 Franklin Rd, Southfield, MI 48034-2352 | 2005-12-20 |
| 1598234809 | Mms Care Pllc | General Practice | 24293 Telegraph Rd Ste 212, Southfield, MI 48033-7903 | 2018-11-15 |
| Find all providers in SOUTHFIELD | ||||
| City | SOUTHFIELD |
| Zip Code | 48075 |
Please comment or provide details below to improve the information on MY VISITING PHYSICIANS PC.
| 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.