Pine Cove Medical Group, PLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

5101004907 Issued in MI

Legal business name

PINE COVE MEDICAL GROUP, PLC

Practice address

8599 Pine Cove Dr
Commerce Township, MI 48382-4457

Phone

(248) 360-9688

Fax

(734) 455-6398

NPI assigned

Oct 5, 2017

Last updated

Oct 5, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

William Silverstone, D.O.

Title

Owner

Phone

(248) 360-9688

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1507161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507161600000",
    "number": "1083124903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8599 PINE COVE DR",
            "city": "COMMERCE TOWNSHIP",
            "state": "MI",
            "postal_code": "483824457",
            "telephone_number": "248-360-9688",
            "fax_number": "734-455-6398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8599 PINE COVE DR",
            "city": "COMMERCE TOWNSHIP",
            "state": "MI",
            "postal_code": "483824457",
            "telephone_number": "248-360-9688",
            "fax_number": "734-455-6398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINE COVE MEDICAL GROUP, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-05",
        "last_updated": "2017-10-05",
        "status": "A",
        "authorized_official_last_name": "SILVERSTONE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-360-9688",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101004907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2017; 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.