Livernois Family Medical SVC

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Legal business name

LIVERNOIS FAMILY MEDICAL SVC

Practice address

18254 Livernois Ave
Detroit, MI 48221-4214

Phone

(313) 861-4400

NPI assigned

Sep 18, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Murtaza Hussain Hussain, MD

Title

Physician

Phone

(313) 861-4400

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Murtaza Hussain, MD

  • Internal Medicine Physician
  • Detroit, MI
  • NPI 1043238421
  NPD (past)

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

{
    "created_epoch": "1347926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347926400000",
    "number": "1063762003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18254 LIVERNOIS AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482214214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18254 LIVERNOIS AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482214214",
            "telephone_number": "313-861-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVERNOIS FAMILY MEDICAL SVC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-18",
        "last_updated": "2012-09-18",
        "status": "A",
        "authorized_official_last_name": "HUSSAIN",
        "authorized_official_first_name": "MURTAZA HUSSAIN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "313-861-4400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lively Residential Paradise
• Lively Residential Paradise
• Shakeita La'Neice Lively, BSW
• Livernois Dental Care PLLC
• Livernois Express Pharmacy
• Livernois Family Pharmacy
• Livernois Pharmacy Inc
• Jeanne Ann Livernois, AU.D.
• Livi Love LLC
• Living Life Adult Program LLC

• Medical Physician Assistant in Detroit, MI
• Providers in Detroit, MI by specialty
• Medical Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.