Motown Residential Physician PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

023784 Issued in MI

Legal business name

MOTOWN RESIDENTIAL PHYSICIAN PLLC

Practice address

852 Cedargate CT
Waterford, MI 48328-2606

Phone

(248) 659-7576

NPI assigned

Oct 26, 2009

Organization subpart

No

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

Authorized official

Name

Linda Evans

Title

Billing/Credentialing

Phone

(248) 476-6385

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1256515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275523200000",
    "number": "1053647131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "852 CEDARGATE CT",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483282606",
            "telephone_number": "248-659-7576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "852 CEDARGATE CT",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483282606",
            "telephone_number": "248-659-7576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOTOWN RESIDENTIAL PHYSICIAN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-26",
        "last_updated": "2010-06-03",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "BILLING/CREDENTIALING",
        "authorized_official_telephone_number": "248-476-6385"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "023784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lura Marie Morosan, B.S.W
• Diane L Morris, M.D.
• Melissa Morse
• Patrick Morton, MSW
• Mosharraf U. Ahmed M.D. PC
• Msu Health Lab, LLC (MSU Health Care Laboratories)
• Anisa Muhovic, PA-C
• Nya Mullens
• Ashley Muller, MA, LLPC
• Lenea Rae Mullins, NP NURSE PRACTITIONE

• Family Medicine Physician in Waterford, MI
• Providers in Waterford, 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 Jun 3, 2010; 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.