NPIMap

Organization Active NPI

Prime Mobile Care Incorporated

  • Adult Medicine Physician
  • Southfield, MI
National Provider Identifier
1194234120
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
Legal business name
PRIME MOBILE CARE INCORPORATED
Practice address
17515 W 9 Mile Rd Ste 375
Southfield, MI 48075-4404
Phone
(248) 450-3942
Fax
(248) 450-3946
NPI assigned
Sep 21, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Ms. Genene Margit EstradaNPI 1992214928
Title
Owner
Phone
(248) 450-3942

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QA0505X Primary

Addresses

Primary practice location

17515 W 9 Mile Rd Ste 375
Southfield, MI 48075-4404

Mailing address

17515 W 9 Mile Rd Ste 375
Southfield, MI 48075-4404
Phone (248) 450-3942

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1505952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1194234120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17515 W 9 MILE RD STE 375",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480754404",
            "telephone_number": "248-450-3942",
            "fax_number": "248-450-3946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17515 W 9 MILE RD STE 375",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480754404",
            "telephone_number": "248-450-3942",
            "fax_number": "248-450-3946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME MOBILE CARE INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-21",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ESTRADA",
        "authorized_official_first_name": "GENENE",
        "authorized_official_middle_name": "MARGIT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-450-3942",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.