Active NPI
Novi Health Center P C
- Specialist
- Novi, MI
National Provider Identifier
1194042176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 4301032978
- Legal business name
- NOVI HEALTH CENTER P C
- Practice address
- 39575 W 10 Mile Rd Ste 205
Novi, MI 48375-2949 - Phone
- (248) 477-4411
- Fax
- (248) 477-4413
- NPI assigned
- Apr 29, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mary C Wood, MD
- Title
- President
- Phone
- (248) 477-4411
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 4301032978 | MI | Primary |
Addresses
Primary practice location
39575 W 10 Mile Rd Ste 205
Novi, MI 48375-2949
Mailing address
39575 W 10 Mile Rd Ste 205
Novi, MI 48375-2949
Phone (248) 477-4411
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1383550 | Medicaid | MI |
National Provider Directory
National Provider DirectoryLocations
39575 W 10 Mile Rd
Ste 205
Novi, MI 48375
Phone (248) 477-4411
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272499200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1272499200000",
"number": "1194042176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39575 W 10 MILE RD STE 205",
"city": "NOVI",
"state": "MI",
"postal_code": "483752949",
"telephone_number": "248-477-4411",
"fax_number": "248-477-4413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39575 W 10 MILE RD STE 205",
"city": "NOVI",
"state": "MI",
"postal_code": "483752949",
"telephone_number": "248-477-4411",
"fax_number": "248-477-4413"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NOVI HEALTH CENTER P C",
"organizational_subpart": "NO",
"enumeration_date": "2010-04-29",
"last_updated": "2010-04-29",
"status": "A",
"authorized_official_last_name": "WOOD",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "248-477-4411",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "MI",
"license": "4301032978",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1383550",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Novi, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.