Family Physician Group

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

FAMILY PHYSICIAN GROUP

Practice address

15301 Tireman Ave
Suite a
Dearborn, MI 48126-1045

Phone

(313) 736-5004

NPI assigned

Jan 26, 2015

Organization subpart

Yes

Parent organization

ELITE URGENT CARE PLLCAs reported in NPPES

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

Authorized official

Name

Maryam Mihtar

Title

President

Phone

(313) 736-5004

Specialties & licenses 1

Addresses

Part of

Elite Urgent Care PLLC

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Elite Urgent Care PLLC

  • Urgent Care Clinic/Center
  • Dearborn, MI
  • NPI 1972852705
  NPPES parent name

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

{
    "created_epoch": "1422230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423008000000",
    "number": "1043600257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15301 TIREMAN AVE",
            "address_2": "SUITE A",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481261045",
            "telephone_number": "313-736-5004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15301 TIREMAN AVE",
            "address_2": "SUITE A",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481261045",
            "telephone_number": "313-736-5004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PHYSICIAN GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ELITE URGENT CARE PLLC",
        "enumeration_date": "2015-01-26",
        "last_updated": "2015-02-04",
        "status": "A",
        "authorized_official_last_name": "MIHTAR",
        "authorized_official_first_name": "MARYAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-736-5004"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leah Faletti
• Samantha Faletti, BEHAVIOR TECH
• Illiana Falkenstern, SLP
• Family Dentistry
• Family Medicine Consultants PLLC
• Family Service of Detroit & Wayne County
• Family Services
• Family Services
• Family Services
• Family Urgent Care PC

• Family Medicine Physician in Dearborn, MI
• Providers in Dearborn, 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 Feb 4, 2015; 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.