Fordson Medical Group PC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

062248 Issued in MI

Legal business name

FORDSON MEDICAL GROUP PC

Doing business as

Warren Medical Group

Practice address

16921 W Warren Ave
Detroit, MI 48228-3504

Phone

(313) 558-9869

NPI assigned

Apr 18, 2007

Organization subpart

No

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

Authorized official

Name

Salahuddin Ahmad

Title

President

Phone

(313) 558-9869

Specialties & licenses 4

Addresses

Other names 1

• WARREN MEDICAL GROUP Doing business as

Locations

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493251200000",
    "number": "1114143914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16921 W WARREN AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482283504",
            "telephone_number": "313-558-9869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16921 W WARREN AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482283504",
            "telephone_number": "313-558-9869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORDSON MEDICAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2017-04-27",
        "status": "A",
        "authorized_official_last_name": "AHMAD",
        "authorized_official_first_name": "SALAHUDDIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-558-9869"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "MI",
            "license": "037730",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MI",
            "license": "405774",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MI",
            "license": "062248",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "MI",
            "license": "062441",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WARREN MEDICAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tajanae Ford, LLPC
• Terajaa Ford
• Traniuqa Ford
• Veronica Johnson Ford, M.A.
• Megan Marie Fordon
• Chelsea Paige Forehand, AGACNP-BC
• Jasmine Alantis Foreman
• Michael Foreman, LBSW
• Olga Foreman
• Vera Foreman, MAOM,BBA,FAODP

• Neurology Physician in Detroit, MI
• Providers in Detroit, MI by specialty
• Neurology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2017; 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.