University Physician Group

Primary specialty

Social WorkerTaxonomy code 104100000X

Legal business name

UNIVERSITY PHYSICIAN GROUP

Doing business as

Wayne State University Physician Group

Practice address

16836 Newburgh Rd
Livonia, MI 48154-1600

Phone

(888) 362-7792

Fax

(734) 464-5885

NPI assigned

Jun 5, 2006

Last updated

Oct 26, 2016By 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

Mr. Jeffery P K

Title

Chief Financial Officer

Phone

(248) 581-5930

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Wayne State University Physician Group Doing business as

Locations (25 of 122)

Practitioners 457

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Aws Saeed Muhammad Ababneh, MD

  • Student in an Organized Health Care Education/Training Program
  • Rochester, MI
  • NPI 1528988318
  NPD (past)
• Shehnaz Abdrabboh, PAC

  • Physician Assistant
  • Detroit, MI
  • NPI 1962521781
  NPD (past)
• Noor Abdulla, MD

  • Student in an Organized Health Care Education/Training Program
  • Detroit, MI
  • NPI 1114772829
  NPD (past)
• Waleed Raheem Abood Abood, M.D.

  • Epilepsy Physician
  • Detroit, MI
  • NPI 1083065148
  NPD (past)
• Gary Wayne Abrams, MD

  • Ophthalmology Physician
  • Detroit, MI
  • NPI 1831136431
  NPD (past)
• Amita Adhikari, MD MPH

  • Pediatric Endocrinology Physician
  • Detroit, MI
  • NPI 1659318251
  NPD (past)
• Zuhair Aejaz, M.D.

  • Internal Medicine Physician
  • Southfield, MI
  • NPI 1457514473
  NPD (past)
• Tina Jessica Aguin, M.D.

  • Obstetrics & Gynecology Physician
  • Detroit, MI
  • NPI 1710189071
  NPD (past)
• Morgan Aguirre, DO

  • Neurology Physician
  • Detroit, MI
  • NPI 1598329807
  NPD (past)
• Mohanad Ahmad, DO

  • Student in an Organized Health Care Education/Training Program
  • Detroit, MI
  • NPI 1689428427
  NPD (past)
• Kara Danielle Aitken Patek, M.D.

  • Obstetrics & Gynecology Physician
  • Detroit, MI
  • NPI 1316398662
  NPD (past)
• Morhaf Al Achkar, MD

  • Family Medicine Physician
  • Detroit, MI
  • NPI 1851555866
  NPD (past)

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477440000000",
    "number": "1154360402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 E. MAPLE RD.",
            "address_2": "SUITE 400-CREDENTIALING DEPT.",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480831138",
            "telephone_number": "248-581-5973",
            "fax_number": "248-581-5640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16836 NEWBURGH RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481541600",
            "telephone_number": "888-362-7792",
            "fax_number": "734-464-5885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY PHYSICIAN GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-05",
        "last_updated": "2016-10-26",
        "status": "A",
        "authorized_official_last_name": "K",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "248-581-5930",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM GROUP NUMBER",
            "identifier": "0H22872",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP # - SOCIAL WORKER",
            "identifier": "0P32050",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wayne State University Physician Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• University Physician Group (Wayne State University Physician Group)
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• Mario Urrutia
• US Medgroup of Michigan PC (Advanced Medical Specialists)

• Social Worker in Livonia, MI
• Providers in Livonia, MI by specialty
• Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2016; 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.