Positron Medical Group PC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

POSITRON MEDICAL GROUP PC

Practice address

6437 Argyle St
Dearborn, MI 48126-2136

Phone

(650) 503-9990

NPI assigned

Jan 26, 2023

Organization subpart

No

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

Authorized official

Name

Miss Courtney Frederick

Title

Director, People and Finance

Phone

(847) 757-4220

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1674691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674691200000",
    "number": "1023724606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2370 E STADIUM BLVD # 2049",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481044811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6437 ARGYLE ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481262136",
            "telephone_number": "650-503-9990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POSITRON MEDICAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-26",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-25",
        "status": "A",
        "authorized_official_last_name": "FREDERICK",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_title_or_position": "DIRECTOR, PEOPLE AND FINANCE",
        "authorized_official_telephone_number": "847-757-4220",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Porter
• Morgan D Porter
• Susan Elaine-Spruce Porter, LMSW
• Cassandra Lynne Porzondek Shrum, NP
• Sarah Posigian
• Elizabeth Joy Posont
• Damion Postell
• Crystal Rose Potter
• Dorion Keith Pouncy Sr.
• Alexandria Marie Powell

• Clinic/Center in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; 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.