Wayne State University School of Medicine

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

Legal business name

WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE

Practice address

720 Westview Dr SW
Atlanta, GA 30310-1458

Phone

(404) 616-1424

NPI assigned

Apr 5, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Martha Jordan

Title

Administrative Director

Phone

(313) 577-2378

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1301961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338940800000",
    "number": "1063701522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 E CANFIELD ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482011928",
            "telephone_number": "313-577-5245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 WESTVIEW DR SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303101458",
            "telephone_number": "404-616-1424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-05",
        "last_updated": "2012-06-06",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "313-577-2378",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Way, LCSW
• Wayfarer Therapies
• Wayfield Pharmacy Inc.
• Wayne G Suway D.D.S., PC
• Wayne Medical
• Joshua Frank Wayne, LMSW, MPH
• Wayside Mental Health, LLC
• Ranisha Wazar de la Cruz
• WBC Georgia LLC
• WBT Therapy - Works, Inc.

• General Acute Care Hospital in Atlanta, GA
• Providers in Atlanta, GA by specialty
• General Acute Care Hospital in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2012; 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.