Edelweiss Family Physicians

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

EDELWEISS FAMILY PHYSICIANS

Practice address

21501 Kelly Rd
Eastpointe, MI 48021-3213

Phone

(586) 498-9200

Fax

(586) 498-9210

NPI assigned

Feb 26, 2007

Last updated

Aug 22, 2020By 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

Dr. Claudia Kirk, MD

Title

President

Phone

(586) 498-9200

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114053873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21501 KELLY RD",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "480213213",
            "telephone_number": "586-498-9200",
            "fax_number": "586-498-9210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21501 KELLY RD",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "480213213",
            "telephone_number": "586-498-9200",
            "fax_number": "586-498-9210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDELWEISS FAMILY PHYSICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KIRK",
        "authorized_official_first_name": "CLAUDIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-498-9200",
        "authorized_official_name_prefix": "Dr.",
        "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": []
}

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• Family Medicine Physician in Eastpointe, MI
• Providers in Eastpointe, 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 Aug 22, 2020; 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.