Organization Active NPI

Novi Health Center P C

  • Specialist
  • Novi, MI
National Provider Identifier
1194042176
Registry record updated Apr 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
4301032978 Issued in MI
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

Updated by the provider on Apr 29, 2010

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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1383550MedicaidMI

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.