Organization Active NPI

Advance Care Visiting Physicians

  • Internal Medicine Physician
  • Ann Arbor, MI
National Provider Identifier
1063855823
Registry record updated Apr 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301068739 Issued in MI
Legal business name
ADVANCE CARE VISITING PHYSICIANS
Practice address
3550 Burbank Dr
Ann Arbor, MI 48105-1596
Phone
(734) 451-0600
Fax
(734) 451-0603
NPI assigned
Apr 11, 2013
Last updated
Apr 11, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2013

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

Authorized official

Name
Rafal Zielinski, M.D.
Title
Owner
Phone
(734) 451-0600

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301068739 MI Primary
Pain Medicine Physician 208VP0000X 4301068739 MI

Addresses

Primary practice location

3550 Burbank Dr
Ann Arbor, MI 48105-1596

Mailing address

3550 Burbank Dr
Ann Arbor, MI 48105-1596
Phone (734) 451-0600

National Provider Directory

National Provider Directory

Locations

6300 Commerce Dr
Ste A
Westland, MI 48185
Phone (844) 238-4748

NPI Registry JSON

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

{
    "created_epoch": "1365638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365638400000",
    "number": "1063855823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3550 BURBANK DR",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481051596",
            "telephone_number": "734-451-0600",
            "fax_number": "734-451-0603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 BURBANK DR",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481051596",
            "telephone_number": "734-451-0600",
            "fax_number": "734-451-0603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE CARE VISITING PHYSICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-11",
        "last_updated": "2013-04-11",
        "status": "A",
        "authorized_official_last_name": "ZIELINSKI",
        "authorized_official_first_name": "RAFAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-451-0600",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301068739",
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "MI",
            "license": "4301068739",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2013; 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.