PRIMECARE MEDICAL CENTERS OF MICHIGAN, P.L.L.C. (NPI# 1942423264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942423264 |
| Entity Type | Organization |
| Organization Name | PRIMECARE MEDICAL CENTERS OF MICHIGAN, P.L.L.C. |
| Practice Address |
23338 Woodward Ave Ferndale MI 48220-1302 |
| Mailing Address |
22605 Van Dyke Ave Warren MI 48089-2358 |
| Practice Telephone | 2485436400 |
| Practice Fax Number | 2485433007 |
| Mailing Telephone | 5867591100 |
| Mailing Fax Number | 5867592721 |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. JAMES MICHAEL ZELCH (REPRESENTATIVE) |
| Authorized Official Telephone | 5867591100 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114140423 | Primecare Medical Centers of Michigan, P.l.l.c. | Clinic/Center | 14671 Telegraph Rd, Redford, MI 48239-3300 | 2007-04-11 |
| 1427271808 | Primecare Medical Centers of Michigan, P.l.l.c. | Clinic/Center | 25429 Van Dyke Ave, Center Line, MI 48015-1825 | 2007-04-11 |
| 1265655583 | Primecare Medical Centers of Michigan, P.l.l.c. | Clinic/Center | 1320 Wilkins St, Detroit, MI 48207-4802 | 2007-04-11 |
| Street Address |
23338 WOODWARD AVE |
| City | FERNDALE |
| State | MI |
| Zip Code | 48220-1302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437206570 | Susan E Watson | Advanced Practice Midwife | 23338 Woodward Ave, Ferndale, MI 48220-1302 | 2007-01-04 |
| 1548516784 | Planned Parenthood Mid and South Michigan | Public Health or Welfare | 23338 Woodward Ave, Ferndale, MI 48220 | 2012-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609428960 | Jennifer Guglielmi | Case Manager/Care Coordinator | Community Living Services, Kent County Division, 642 East Nine Mile Road, Ferndale, MI 48220 | 2019-07-16 |
| 1750876439 | Kathryn Pozniak | Counselor | 3136 Hilton Rd, Ferndale, MI 48220 | 2018-06-26 |
| 1033626841 | Anna Billane Kern | Nurse Practitioner | 223 E Oakridge St Apt 2, Ferndale, MI 48220 | 2018-01-02 |
| 1790294213 | Essential Healing LLC | Home Health | 1929 Almont St, Ferndale, MI 48220 | 2017-09-27 |
| 1629599220 | Gifted Hands Care Services LLC. | Home Health Aide | 1825 E. Troy, Ferndale, MI 48220 | 2017-07-05 |
| 1538609409 | Andrew Spitzer | Nurse Practitioner | 261 W 9 Mile Rd Apt 301, Ferndale, MI 48220 | 2017-02-27 |
| 1598211914 | Samantha Marie Vann | Technician, Other | 2147 Moorehouse, Ferndale, MI 48220 | 2016-08-26 |
| 1174981963 | Kelsey Rose Orlando | Speech-Language Pathologist | 3178 Hilton Rd, Ferndale, MI 48220 | 2016-02-08 |
| 1598123747 | Marlene O. Joshi | Counselor | 1538 Leroy St, Ferndale, MI 48220 | 2016-02-03 |
| 1245608892 | Michael Tocco | Acupuncturist | 3055 Hilton Rd Ste B, Ferndale, MI 48220 | 2015-09-11 |
| Find all providers in zip 48220 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487252458 | Midland Express Urgent and Family Care | Clinic/Center | 600 Cambridge St Ste 1, Midland, MI 48642-4508 | 2020-10-13 |
| 1841805306 | Alex Wagner, LLC | Clinic/Center | 1864 Lakeshore Dr Ste A, Muskegon, MI 49441-1607 | 2020-09-11 |
| 1760013262 | Tranquility Wellness Center | Clinic/Center | 5237 Oakman Blvd Ste B100, Dearborn, MI 48126-4045 | 2020-02-03 |
| 1588295463 | Scheurer Hospital | Clinic/Center | 100 Pigeon Rd Ste C, Bad Axe, MI 48413-8169 | 2020-01-30 |
| 1639718539 | Scheurer Hospital | Clinic/Center | 75 Buschlen Rd, Bad Axe, MI 48413 | 2019-12-26 |
| 1780235465 | Careatc | Clinic/Center | 2221 Health Dr Sw Ste 1500, Grand Rapids, MI 49519-9681 | 2019-09-24 |
| 1821649948 | Hope Primary Care of Birch Run Pllc | Clinic/Center | 9143 Birh Run Rd, Ste 3, Birch Run, MI 48415 | 2019-09-20 |
| 1609425180 | Wafa A Elhassan Md Pllc | Clinic/Center | 1905 S Haggerty Rd, Canton, MI 48188-2025 | 2019-09-08 |
| 1861966244 | Progressive Care Medical Group of Mi, Pllc | Clinic/Center | 734 Starkweather Drive, Lansing, MI 48917-1128 | 2019-01-18 |
| 1972006047 | Genise Kerner Md PC | Clinic/Center | 37675 Pembrooke Ave, Livonia, MI 48152 | 2018-03-14 |
| Find all providers with the same taxonomy | ||||
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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.