Chelsea Professional Services

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CHELSEA PROFESSIONAL SERVICES

Practice address

208 W Bennett St
Saline, MI 48176-1105

Phone

(734) 429-9377

Fax

(734) 429-8277

NPI assigned

Sep 10, 2019

Organization subpart

No

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

Authorized official

Name

Michael Paul Gusho

Title

Cfo, Michigan Region

Phone

(248) 858-6174

Specialties & licenses 1

Addresses

Other names 1

• ST. JOE'S MEDICAL GROUP - SALINE PRIMARY CARE Doing business as

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

{
    "created_epoch": "1568073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568073600000",
    "number": "1114576337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44428 WOODWARD AVE STE 101",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483415009",
            "telephone_number": "248-858-3015",
            "fax_number": "248-858-6232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 W BENNETT ST",
            "city": "SALINE",
            "state": "MI",
            "postal_code": "481761105",
            "telephone_number": "734-429-9377",
            "fax_number": "734-429-8277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHELSEA PROFESSIONAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-10",
        "last_updated": "2019-09-10",
        "status": "A",
        "authorized_official_last_name": "GUSHO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "CFO, MICHIGAN REGION",
        "authorized_official_telephone_number": "248-858-6174"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ST. JOE'S MEDICAL GROUP - SALINE PRIMARY CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Family Medicine Physician in Saline, MI
• Providers in Saline, 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 Sep 10, 2019; 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.