NPIMap

Organization Active NPI

Henry Ford West Bloomfield Physicans

  • Family Medicine Physician
  • Novi, MI
National Provider Identifier
1083010755
Registry record updated Feb 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
HENRY FORD WEST BLOOMFIELD PHYSICANS
Practice address
39525 W 14 Mile Rd
Suite 101
Novi, MI 48377-1632
Phone
(248) 360-6000
NPI assigned
Nov 7, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2015

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

Authorized official

Name
Mark Karchon, D.O.NPI 1699861088
Title
Physician
Phone
(248) 360-6000

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: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

39525 W 14 Mile Rd
Suite 101
Novi, MI 48377-1632

Mailing address

PO Box 674852
Detroit, MI 48267-4852

Other names 1

  • Henry Ford Family Practice Other name

National Provider Directory

National Provider Directory
Tax ID family
Henry Ford Family Practice2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

39525 W 14 Mile Rd
Ste 101
Novi, MI 48377
Phone (248) 363-3232

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1415318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423699200000",
    "number": "1083010755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 674852",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482674852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39525 W 14 MILE RD",
            "address_2": "SUITE 101",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483771632",
            "telephone_number": "248-360-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY FORD WEST BLOOMFIELD PHYSICANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-07",
        "last_updated": "2015-02-12",
        "status": "A",
        "authorized_official_last_name": "KARCHON",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "248-360-6000",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Henry Ford Family Practice",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Novi, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2015; 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.