Seraphim Network LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

4301407599 Issued in MI

Legal business name

SERAPHIM NETWORK LLC

Doing business as

Seraphim Medical Network

Practice address

17256 Sherfield PL
Southfield, MI 48075-1969

Phone

(248) 552-1327

NPI assigned

Jan 25, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Rebecca Kathleene Motley, M.D.

Title

President

Phone

(248) 552-1327

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Seraphim Medical Network Doing business as

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

{
    "created_epoch": "1359072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359072000000",
    "number": "1124366125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17256 SHERFIELD PL",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480751969",
            "telephone_number": "248-552-1327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17256 SHERFIELD PL",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480751969",
            "telephone_number": "248-552-1327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERAPHIM NETWORK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-25",
        "last_updated": "2013-01-25",
        "status": "A",
        "authorized_official_last_name": "MOTLEY",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "KATHLEENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-552-1327",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "MI",
            "license": "4301407599",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "23D1064376",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Seraphim Medical Network",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Physician in Southfield, MI
• Providers in Southfield, MI by specialty
• General Practice Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2013; 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.