NPIMap

Organization Active NPI

Prime Garden City Medical Group

Doing business as Center for Internal Medicine

  • Internal Medicine Physician
  • Garden City, MI
National Provider Identifier
1023295722
Registry record updated Apr 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PRIME GARDEN CITY MEDICAL GROUP
Doing business as
Center for Internal Medicine
Practice address
6255 Inkster Rd
Suite 101
Garden City, MI 48135-2577
Phone
(734) 421-4850
Fax
(734) 421-6635
NPI assigned
Jan 24, 2008
Last updated
Apr 12, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
PRIME GARDEN CITY MEDICAL GROUPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 12, 2017

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

Authorized official

Name
Mr. John F Magnuson
Title
Practice Administrator
Phone
(734) 458-4490

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

6255 Inkster Rd
Suite 101
Garden City, MI 48135-2577

Mailing address

6255 Inkster Rd
Suite 101
Garden City, MI 48135-2577
Phone (734) 421-4850

Other names 1

  • Center for Internal Medicine Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Amerigard Diagnostic Ce9 organizations share this tax ID, including this one
Part of
Amerigard Diagnostic Ce

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6255 Inkster Rd
Ste 101
Garden City, MI 48135
Phone (248) 275-1144

NPI Registry JSON

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

{
    "created_epoch": "1201132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491955200000",
    "number": "1023295722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6255 INKSTER RD",
            "address_2": "SUITE 101",
            "city": "GARDEN CITY",
            "state": "MI",
            "postal_code": "481352577",
            "telephone_number": "734-421-4850",
            "fax_number": "734-421-6635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6255 INKSTER RD",
            "address_2": "SUITE 101",
            "city": "GARDEN CITY",
            "state": "MI",
            "postal_code": "481352577",
            "telephone_number": "734-421-4850",
            "fax_number": "734-421-6635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME GARDEN CITY MEDICAL GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRIME GARDEN CITY MEDICAL GROUP",
        "enumeration_date": "2008-01-24",
        "last_updated": "2017-04-12",
        "status": "A",
        "authorized_official_last_name": "MAGNUSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "734-458-4490",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Internal Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Garden City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2017; 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.