Active NPI
Salta of Troy, PLLC
- Family Medicine Physician
- Troy, MI
National Provider Identifier
1104462886
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- SALTA OF TROY, PLLC
- Practice address
- 1631 W Big Beaver Rd
Troy, MI 48084-3501 - Phone
- (248) 781-9655
- Fax
- (248) 781-9665
- NPI assigned
- Nov 18, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John A Blanchard, MD
- Title
- Ceo
- Phone
- (248) 206-1200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
1631 W Big Beaver Rd
Troy, MI 48084-3501
Mailing address
1627 W Big Beaver Rd
Troy, MI 48084-3501
Phone (248) 220-1560
National Provider Directory
National Provider DirectoryLocations
1631 W Big Beaver Rd
Troy, MI 48084
Phone (248) 781-9655
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physician Assistant
- Troy, MI
- NPI 1336131218
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574035200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1643328000000",
"number": "1104462886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1627 W BIG BEAVER RD",
"city": "TROY",
"state": "MI",
"postal_code": "480843501",
"telephone_number": "248-220-1560",
"fax_number": "248-220-1563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1631 W BIG BEAVER RD",
"city": "TROY",
"state": "MI",
"postal_code": "480843501",
"telephone_number": "248-781-9655",
"fax_number": "248-781-9665"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SALTA OF TROY, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-11-18",
"last_updated": "2022-01-28",
"certification_date": "2022-01-21",
"status": "A",
"authorized_official_last_name": "BLANCHARD",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "248-206-1200",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Troy, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.