Westborn Medical Clinic

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

4704295266 Issued in MI

Legal business name

WESTBORN MEDICAL CLINIC

Practice address

23865 Michigan Ave
Dearborn, MI 48124-1805

Phone

(313) 562-9588

NPI assigned

Mar 8, 2017

Organization subpart

No

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

Authorized official

Name

Richard HammoudNPI 1255330767

Title

Doctor

Phone

(313) 562-9588

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard Hammoud, MD

  • Internal Medicine Physician
  • Dearborn, MI
  • NPI 1255330767
  NPD Authorized official

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

{
    "created_epoch": "1488931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488931200000",
    "number": "1043750136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23865 MICHIGAN AVE",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "48124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23865 MICHIGAN AVE",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481241805",
            "telephone_number": "313-562-9588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTBORN MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-08",
        "last_updated": "2017-03-08",
        "status": "A",
        "authorized_official_last_name": "HAMMOUD",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "313-562-9588"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MI",
            "license": "4704295266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• West Dearborn Primary Care
• West Dearborn Urgent Care PLLC
• West Meds Pharmacy Inc.
• West Village Dental PLLC
• Dai' Shon West
• Westborn Physical Therapy LLC
• Western Wayne Family Health Centers
• Christine Giska Westphal, RN MSN APRN-BC
• Grace Ann Westrick
• Kayleah Ann Wetzel

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.