NPIMap

Organization Active NPI

Friendly Neighborhood Medical Clinic II

  • Family Medicine Physician
  • Detroit, MI
National Provider Identifier
1104074582
Registry record updated Oct 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FRIENDLY NEIGHBORHOOD MEDICAL CLINIC II
Practice address
18606 Fenkell St
Detroit, MI 48223-2315
Phone
(313) 273-2000
Fax
(313) 273-2020
NPI assigned
Aug 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2008

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

Authorized official

Name
Ms. Nancy Rochelle Williams
Title
Owner/Ceo
Phone
(313) 273-2000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X

Addresses

Primary practice location

18606 Fenkell St
Detroit, MI 48223-2315

Mailing address

18606 Fenkell St
Detroit, MI 48223-2315
Phone (313) 273-2000

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1219881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223942400000",
    "number": "1104074582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18606 FENKELL ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482232315",
            "telephone_number": "313-273-2000",
            "fax_number": "313-273-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18606 FENKELL ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482232315",
            "telephone_number": "313-273-2000",
            "fax_number": "313-273-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRIENDLY NEIGHBORHOOD MEDICAL CLINIC II",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-28",
        "last_updated": "2008-10-14",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "ROCHELLE",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "313-273-2000",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.