Michigan Medical Clinics

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MICHIGAN MEDICAL CLINICS

Practice address

29984 Telegraph Rd
Ste a
Southfield, MI 48034-1355

Phone

(248) 933-1224

NPI assigned

Jun 5, 2015

Last updated

Mar 11, 2016By 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

Mr. Alex Olkhovsky

Title

Chairman of the Board of Directors

Phone

(248) 933-1224

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1433462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457654400000",
    "number": "1104206978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 KINGSTOWNE DR",
            "city": "COMMERCE TWP",
            "state": "MI",
            "postal_code": "483902712",
            "telephone_number": "248-933-1224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29984 TELEGRAPH RD",
            "address_2": "STE A",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341355",
            "telephone_number": "248-933-1224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN MEDICAL CLINICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-05",
        "last_updated": "2016-03-11",
        "status": "A",
        "authorized_official_last_name": "OLKHOVSKY",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "CHAIRMAN OF THE BOARD OF DIRECTORS",
        "authorized_official_telephone_number": "248-933-1224",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "204C00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "MI",
            "license": "4301094678",
            "primary": false
        },
        {
            "code": "207PE0005X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michigan Home Physician Service, PLLC
• Michigan Institute of Musculoskeletal Medicine PLLC
• Michigan Institute of Pain and Headache, PC (Metro Pain Clinic)
• Michigan Institute of Urology PC
• Michigan Massage Therapy
• Michigan Medical Clinics, Inc
• Michigan Neurodiagnostics, LLC (Stratus)
• Michigan Neuropsychological Society, Inc.
• Michigan Orthopaedic Institute, P.C.
• Michigan Orthopaedic Surgeons, PLLC

• Family Medicine Physician in Southfield, MI
• Providers in Southfield, 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 Mar 11, 2016; 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.