NPIMap

Organization Active NPI

Complete Physicians Care PC

  • Legal Medicine
  • Ypsilanti, MI
National Provider Identifier
1184911422
Registry record updated Aug 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
4301023595 Issued in MI
Legal business name
COMPLETE PHYSICIANS CARE PC
Practice address
8635 Nottingham CT
Ypsilanti, MI 48198-3222
Phone
(734) 709-3319
Fax
(734) 212-1541
NPI assigned
Jul 7, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2011

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

Authorized official

Name
Dr. Elmer J Kozora, M.D.
Title
Physician
Phone
(734) 709-3319

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal MedicineGroup: 193400000X SINGLE SPECIALTY GROUP 173000000X 4301023595 MI Primary

Addresses

Primary practice location

8635 Nottingham CT
Ypsilanti, MI 48198-3222

Mailing address

8635 Nottingham CT
Ypsilanti, MI 48198-3222
Phone (734) 709-3319

Other identifiers 1

IdentifierTypeStateIssuer
1538139985OtherMIMEDICARE PROVIDER NUMBER OP23960

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1309996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314489600000",
    "number": "1184911422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8635 NOTTINGHAM CT",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481983222",
            "telephone_number": "734-709-3319",
            "fax_number": "734-212-1541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8635 NOTTINGHAM CT",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481983222",
            "telephone_number": "734-709-3319",
            "fax_number": "734-212-1541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE PHYSICIANS CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-07",
        "last_updated": "2011-08-28",
        "status": "A",
        "authorized_official_last_name": "KOZORA",
        "authorized_official_first_name": "ELMER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "734-709-3319",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": "MI",
            "license": "4301023595",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER OP23960",
            "identifier": "1538139985",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ypsilanti, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.