NPIMap

Organization Active NPI

Medical Services of Detroit

  • Preferred Provider Organization
  • Southfield, MI
National Provider Identifier
1063503910
Registry record updated Jul 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
4301036560 Issued in MI
Legal business name
MEDICAL SERVICES OF DETROIT
Practice address
24261 Greenfield Rd
Southfield, MI 48075-3117
Phone
(248) 569-9523
Fax
(248) 569-9529
NPI assigned
Sep 27, 2006
Last updated
Jul 11, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2007

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

Authorized official

Name
Mrs. Starrlite C Dehn, CMBS, CMA
Title
Office Manager
Phone
(248) 569-9523

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 4301036560 MI Primary

Addresses

Primary practice location

24261 Greenfield Rd
Southfield, MI 48075-3117

Mailing address

24261 Greenfield Rd
Southfield, MI 48075-3117
Phone (248) 569-9523

Other names 1

  • Greenfield Medical and Urgent Care Other name

National Provider Directory

National Provider Directory
Tax ID family
Medical Services of Detroit3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184112000000",
    "number": "1063503910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24261 GREENFIELD RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480753117",
            "telephone_number": "248-569-9523",
            "fax_number": "248-569-9529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24261 GREENFIELD RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480753117",
            "telephone_number": "248-569-9523",
            "fax_number": "248-569-9529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL SERVICES OF DETROIT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2007-07-11",
        "status": "A",
        "authorized_official_last_name": "DEHN",
        "authorized_official_first_name": "STARRLITE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "248-569-9523",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CMBS, CMA"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "MI",
            "license": "4301036560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greenfield Medical and Urgent Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; 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.