Organization Active NPI

Health Choice Group PC

  • Family Medicine Physician
  • West Bloomfield, MI
National Provider Identifier
1174841100
Registry record updated Oct 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
HEALTH CHOICE GROUP PC
Practice address
2030 Lochaven Rd
West Bloomfield, MI 48324-3919
Phone
(248) 937-0212
Fax
(248) 366-4510
NPI assigned
May 14, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2011

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

Authorized official

Name
Chong Yi, M.D.
Title
Physician/Owner
Phone
(248) 790-1003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2030 Lochaven Rd
West Bloomfield, MI 48324-3919

Mailing address

2030 Lochaven Rd
West Bloomfield, MI 48324-3919
Phone (248) 937-0212

Other identifiers 1

IdentifierTypeStateIssuer
1174841100MedicaidMI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1273795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319068800000",
    "number": "1174841100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2030 LOCHAVEN RD",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483243919",
            "telephone_number": "248-937-0212",
            "fax_number": "248-366-4510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 LOCHAVEN RD",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483243919",
            "telephone_number": "248-937-0212",
            "fax_number": "248-366-4510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH CHOICE GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-14",
        "last_updated": "2011-10-20",
        "status": "A",
        "authorized_official_last_name": "YI",
        "authorized_official_first_name": "CHONG",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "248-790-1003",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1174841100",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bloomfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2011; 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.