Michigan Family Medicine, PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MICHIGAN FAMILY MEDICINE, PLLC

Practice address

2167 Orchard Lake Road
Suite-B
Sylvan Lake, MI 48320

Phone

(248) 857-7878

Fax

(248) 857-7888

NPI assigned

Jan 15, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Nazma Khan Amin

Title

Office Manager

Phone

(248) 857-7878

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1736899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736899200000",
    "number": "1013728591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2167 ORCHARD LAKE ROAD",
            "address_2": "SUITE-B",
            "city": "SYLVAN LAKE",
            "state": "MI",
            "postal_code": "48320",
            "telephone_number": "248-857-7878",
            "fax_number": "248-857-7888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2167 ORCHARD LAKE ROAD",
            "address_2": "SUITE-B",
            "city": "SYLVAN LAKE",
            "state": "MI",
            "postal_code": "48320",
            "telephone_number": "248-857-7878",
            "fax_number": "248-857-7888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN FAMILY MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-15",
        "last_updated": "2025-01-15",
        "status": "A",
        "authorized_official_last_name": "AMIN",
        "authorized_official_first_name": "NAZMA",
        "authorized_official_middle_name": "KHAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "248-857-7878",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Venette Rhea Hysmith, MT
• Renee Kuza
• Helene Tracy Little X
• Motria Lusk
• Michigan Family Medicine PLLC
• Michigan Family Medicine, PLLC
• Kendra E Moss
• Ronald Charles Ogusky, PH.D.
• Renaissance Health Services
• Kirti Prakash Sanghvi, M.D.

• Family Medicine Physician in Sylvan Lake, MI
• Providers in Sylvan Lake, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.