INFINITY PRIMARY CARE, PLLC (NPI# 1750507729) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750507729 |
| Entity Type | Organization |
| Organization Name | INFINITY PRIMARY CARE, PLLC |
| Other Organization Name | WEST BLOOMFIELD FAMILY PRACTICE |
| Practice Address |
28455 Haggerty Rd Suite #100 Novi MI 48377-2982 |
| Mailing Address |
17197 N Laurel Park Dr Suite 540 Livonia MI 48152-2680 |
| Practice Telephone | 2485532200 |
| Practice Fax Number | 2485532201 |
| Mailing Telephone | 7348534901 |
| Mailing Fax Number | 7348534900 |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2011-03-25 |
| Authorized Official Name | KEVIN G. DEIGHTON (PRESIDENT) |
| Authorized Official Telephone | 7344327581 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBSM | 080F323740 | 01 |
| Other Name | Type Code |
|---|---|
| West Bloomfield Family Practice | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295997922 | Infinity Primary Care, Pllc | Family Medicine | 1600 S Canton Center Rd, Suite 220, Canton, MI 48188-1992 | 2008-06-25 |
| 1629280672 | Infinity Primary Care, Pllc | Family Medicine | 7575 Grand River Rd, Suite 209, Brighton, MI 48114-9309 | 2007-05-03 |
| 1932325909 | Infinity Primary Care, Pllc | Family Medicine | 26850 Providence Pkwy, Suite 370, Novi, MI 48374-1213 | 2007-04-18 |
| 1841416815 | Infinity Primary Care, Pllc | Internal Medicine | 37595 7 Mile Rd, Suite 240, Livonia, MI 48152-1003 | 2007-04-18 |
| 1639394869 | Infinity Primary Care, Pllc | Family Medicine | 26850 Providence Pkwy, Suite 375, Novi, MI 48374-1213 | 2007-04-14 |
| 1730304965 | Infinity Primary Care, Pllc | Internal Medicine | 5777 W Maple Rd, Suite 140, West Bloomfield, MI 48322-2267 | 2007-04-14 |
| 1609998095 | Infinity Primary Care, Pllc | Internal Medicine | 28455 Haggerty Rd, Suite 102, Novi, MI 48377-2982 | 2007-04-04 |
| Street Address |
28455 HAGGERTY RD SUITE #100 |
| City | NOVI |
| State | MI |
| Zip Code | 48377-2982 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437147964 | Stephen Craig Hyman | Physical Medicine & Rehabilitation | 28455 Haggerty Rd, Suite 200, Novi, MI 48377-2982 | 2005-10-10 |
| 1992206924 | Julie Ebel | Physical Therapist | 28455 Haggerty Rd, Novi, MI 48377-2982 | 2018-02-26 |
| 1508367418 | Timothy Lawrence Fifer | Physical Therapist | 28455 Haggerty Rd, Novi, MI 48377-2982 | 2018-02-26 |
| 1578921441 | Jill Gettle | Dietitian, Registered | 28455 Haggerty Rd, Suite 102, Novi, MI 48377-2982 | 2016-02-05 |
| 1821402678 | Richard Declercq | Nurse Practitioner | 28455 Haggerty Rd, Suite 200, Novi, MI 48377-2982 | 2014-06-19 |
| 1568889004 | Lorna Broom | Nurse Practitioner | 28455 Haggerty Rd, Ste 200, Novi, MI 48377-2982 | 2014-03-22 |
| 1043636772 | Susan Musto | Nurse Practitioner | 28455 Haggerty Rd, Suite 200, Novi, MI 48377-2982 | 2014-03-05 |
| 1497048193 | Lindsey Alexandra Rossman | Physical Medicine & Rehabilitation | 28455 Haggerty Rd, Ste 200, Novi, MI 48377-2982 | 2011-05-27 |
| 1306140819 | Danielle M Bessesen | Nurse Practitioner | 28455 Haggerty Rd, Ste 200, Novi, MI 48377-2982 | 2010-12-28 |
| 1598075616 | Bruce Frederick Wilkens | Physician Assistant | 28455 Haggerty Rd, Ste 200, Novi, MI 48377-2982 | 2010-10-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679075758 | Andrea Campbell | Nurse Practitioner | 44000 W 12 Mile Rd Ste 113, Novi, MI 48377 | 2018-03-05 |
| 1811421928 | Michigan Eye and Contact Lens Pllc | Optometrist | 42081 14 Mile Road, Novi, MI 48377 | 2017-04-14 |
| 1336695691 | Deanna Lynne Klein | Speech-Language Pathologist | 44140 Fox Run Road, Novi, MI 48377 | 2016-08-28 |
| 1871940973 | Jaime Durante | Nurse Practitioner | 44070 W. 12 Mile Rd, Suite 100, Novi, MI 48377 | 2016-05-18 |
| 1508225624 | Trilogy Healthcare of Oakland II, LLC | Skilled Nursing Facility | 41795 W 12 Mile Road, Novi, MI 48377 | 2016-02-17 |
| 1144688854 | Hussein Azzam | Allergy & Immunology | 46325 W 12 Mile Rd Ste 215, Novi, MI 48377 | 2016-02-09 |
| 1598120164 | Nova Counseling Services Inc. | Counselor | 41650 Clemens Circle, Novi, MI 48377 | 2015-12-23 |
| 1891174587 | Reem Mariam Mansour | Occupational Therapist | 44125 West 12 Mile Rd E-123, Novi, MI 48377 | 2015-05-27 |
| 1154747095 | Ali Hassan Ismail | Dentist | 41920 Wolfe Pass, Novi, MI 48377 | 2014-03-17 |
| 1558703876 | Twelve Oaks Orthodontics Pllc | Dentist | 44110 W 12 Mile Rd, Suite 100, Novi, MI 48377 | 2013-07-29 |
| Find all providers in zip 48377 | ||||
| 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 |
|---|---|---|---|---|
| 1992285118 | Jan Medical Inc | Family Medicine | 45686 S Lake Dr, Novi, MI 48377-3919 | 2018-08-16 |
| 1982103362 | Primecare On Wixom Pllc | Family Medicine | 27250 Wixom Rd Ste A, Novi, MI 48374-1116 | 2018-02-12 |
| 1326427105 | Paolo Nino Balmaseda | Family Medicine | 26750 Providence Pkwy Ste 210, Novi, MI 48374-1212 | 2015-05-26 |
| 1477811925 | Fallon Kapatais | Family Medicine | 40015 Grand River Ave Ste 100, Novi, MI 48375-2160 | 2012-05-02 |
| 1265727556 | Nicholas Jay Moore | Family Medicine | 26850 Providence Pkwy Ste 260, Novi, MI 48374-1256 | 2011-06-14 |
| 1023291390 | P & A of Farmington Hills, PC | Family Medicine | 44150 W 12 Mile Rd, Ste 100, Novi, MI 48377 | 2007-12-10 |
| 1962606350 | Progressive Medicine Pllc | Family Medicine | 47689 Aberdeen Dr, Novi, MI 48374-3690 | 2007-06-12 |
| 1235281916 | Primecare of Novi Pllc | Family Medicine | 39555 West Ten Mile Rd, Suite 302, Novi, MI 48375-2950 | 2007-01-16 |
| 1700942133 | Personal Care Physician Pllc | Family Medicine | 26179 Novi Rd, Novi, MI 48375-1140 | 2006-12-29 |
| 1679647200 | Robert Raja Zaid | Family Medicine | 39555 W 10 Mile Rd Ste 302, Novi, MI 48375-2950 | 2006-11-17 |
| Find all providers in NOVI | ||||
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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.