NPIMap

Organization Active NPI

Detroit Visiting Physicians Therapeutics, P.C.

  • Legal Medicine
  • Livonia, MI
National Provider Identifier
1083883953
Registry record updated Jul 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
4301087049 Issued in MI
Legal business name
DETROIT VISITING PHYSICIANS THERAPEUTICS, P.C.
Practice address
16985 Farmington Rd
Livonia, MI 48154-2946
Phone
(734) 421-0900
Fax
(734) 421-0700
NPI assigned
Feb 26, 2008
Last updated
Jul 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2008

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

Authorized official

Name
Dr. Fares Yasin, M.D.
Title
Ceo/President
Phone
(734) 421-0900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal Medicine 173000000X 4301087049 MI Primary

Addresses

Primary practice location

16985 Farmington Rd
Livonia, MI 48154-2946

Mailing address

16985 Farmington Rd
Livonia, MI 48154-2946
Phone (734) 421-0900

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1203984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216339200000",
    "number": "1083883953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16985 FARMINGTON RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481542946",
            "telephone_number": "734-421-0900",
            "fax_number": "734-421-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16985 FARMINGTON RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481542946",
            "telephone_number": "734-421-0900",
            "fax_number": "734-421-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DETROIT VISITING PHYSICIANS THERAPEUTICS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-26",
        "last_updated": "2008-07-18",
        "status": "A",
        "authorized_official_last_name": "YASIN",
        "authorized_official_first_name": "FARES",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "734-421-0900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "MI",
            "license": "4301087049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2008; 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.