Comprehensive Health Care Center of Michigan, PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

33869 Issued in MI

Legal business name

COMPREHENSIVE HEALTH CARE CENTER OF MICHIGAN, PLLC

Practice address

44344 Dequindre Rd
Suite 340
Sterling Heights, MI 48314-1038

Phone

(586) 731-8200

Fax

(586) 731-8922

NPI assigned

Jun 8, 2009

Organization subpart

No

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

Authorized official

Name

Samson K Kpadenou, MD. MPH

Title

President

Phone

(586) 731-7250

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Rochester Lifestyle Change & Health Center Former legal business name

Locations

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

{
    "created_epoch": "1244419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398816000000",
    "number": "1033345889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44344 DEQUINDRE RD",
            "address_2": "SUITE 340",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483141038",
            "telephone_number": "586-731-8200",
            "fax_number": "586-731-8922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44344 DEQUINDRE RD",
            "address_2": "SUITE 340",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483141038",
            "telephone_number": "586-731-8200",
            "fax_number": "586-731-8922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE HEALTH CARE CENTER OF MICHIGAN, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-08",
        "last_updated": "2014-04-30",
        "status": "A",
        "authorized_official_last_name": "KPADENOU",
        "authorized_official_first_name": "SAMSON",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-731-7250",
        "authorized_official_credential": "MD. MPH"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "33869",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2716948",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rochester Lifestyle Change & Health Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Internal Medicine Physician in Sterling Heights, MI
• Providers in Sterling Heights, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2014; 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.