NPIMap

Organization Active NPI

Michigan Visiting Physician P.C.

  • Family Medicine Physician
  • Ann Arbor, MI
National Provider Identifier
1053569962
Registry record updated Sep 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301032663 Issued in MI
Legal business name
MICHIGAN VISITING PHYSICIAN P.C.
Practice address
2900 Golfside Ste #9
Ann Arbor, MI 48108
Phone
(734) 572-1666
NPI assigned
Sep 4, 2008
Last updated
Sep 4, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2008

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

Authorized official

Name
Reza Mafee, M.D.
Title
Physician/President
Phone
(734) 572-1666

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301032663 MI Primary

Addresses

Primary practice location

2900 Golfside Ste #9
Ann Arbor, MI 48108

Mailing address

2900 Golfside Ste #9
Ann Arbor, MI 48108
Phone (734) 572-1666

National Provider Directory

National Provider Directory

Locations

33330 Palmer Rd
Ste C
Westland, MI 48186
Phone (734) 727-1765

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1220486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220486400000",
    "number": "1053569962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 GOLFSIDE STE #9",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "48108",
            "telephone_number": "734-572-1666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 GOLFSIDE STE #9",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "48108",
            "telephone_number": "734-572-1666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN VISITING PHYSICIAN P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-04",
        "last_updated": "2008-09-04",
        "status": "A",
        "authorized_official_last_name": "MAFEE",
        "authorized_official_first_name": "REZA",
        "authorized_official_title_or_position": "PHYSICIAN/PRESIDENT",
        "authorized_official_telephone_number": "734-572-1666",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301032663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2008; 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.