Centerline Family Practice Center PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CENTERLINE FAMILY PRACTICE CENTER PC

Practice address

8033 E 10 Mile Rd Ste 105
Center Line, MI 48015-1454

Phone

(586) 755-6101

NPI assigned

Apr 30, 2009

Last updated

Jul 9, 2009By 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

Rita Shah

Title

Medical Biller

Phone

(586) 754-3830

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1241049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247097600000",
    "number": "1083858328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8033 E 10 MILE RD STE 105",
            "city": "CENTER LINE",
            "state": "MI",
            "postal_code": "480151454",
            "telephone_number": "856-755-6101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8033 E 10 MILE RD STE 105",
            "city": "CENTER LINE",
            "state": "MI",
            "postal_code": "480151454",
            "telephone_number": "586-755-6101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTERLINE FAMILY PRACTICE CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-30",
        "last_updated": "2009-07-09",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "RITA",
        "authorized_official_title_or_position": "MEDICAL BILLER",
        "authorized_official_telephone_number": "586-754-3830"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Center Line, MI
• Providers in Center Line, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2009; 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.