NPIMap

Organization Active NPI

Livonia Family Physicians, PC

  • Family Medicine Physician
  • Brighton, MI
National Provider Identifier
1063677912
Registry record updated Jul 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
LIVONIA FAMILY PHYSICIANS, PC
Practice address
1014 E Grand River Ave
Brighton, MI 48116-1804
Phone
(734) 464-9540
NPI assigned
Jul 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2008

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

Authorized official

Name
Thomas Selznick, DONPI 1679553465
Title
Managing Partner
Phone
(734) 464-9540

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1014 E Grand River Ave
Brighton, MI 48116-1804

Mailing address

17800 Newburgh Rd
Suite 103
Livonia, MI 48152-2700
Phone (734) 464-9540

National Provider Directory

National Provider Directory

Locations

8101 N Lilley Rd
Canton, MI 48187
Phone (734) 254-0314

19211 Anglin St
Detroit, MI 48234
Phone (313) 263-0077

15311 Schaefer Hwy
Detroit, MI 48227
Phone (313) 835-4775

27513 Grand River St
Livonia, MI 48152
Phone (248) 474-2275

28910 Plymouth Rd
Livonia, MI 48150
Phone (734) 425-2721

3030 Greenfield Rd
Royal Oak, MI 48073
Phone (248) 288-6610

34330 Van Born Rd
Wayne, MI 48184
Phone (734) 721-0740

Practitioners & affiliated clinicians

Practitioners 9

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": "1216598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216598400000",
    "number": "1063677912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17800 NEWBURGH RD",
            "address_2": "SUITE 103",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481522700",
            "telephone_number": "734-464-9540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 E GRAND RIVER AVE",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481161804",
            "telephone_number": "734-464-9540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVONIA FAMILY PHYSICIANS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-21",
        "last_updated": "2008-07-21",
        "status": "A",
        "authorized_official_last_name": "SELZNICK",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "734-464-9540",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brighton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.