Organization Active NPI

Your at Home Doctor P.C.

  • Internal Medicine Physician
  • Flushing, MI
National Provider Identifier
1194481333
Registry record updated Nov 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
YOUR AT HOME DOCTOR P.C.
Practice address
5121 Flushing Rd Ste C
Flushing, MI 48433-2571
Phone
(734) 778-5875
NPI assigned
Nov 11, 2021
Last updated
Nov 13, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2021

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

Authorized official

Name
Mousa S Mohamed, M.D.
Title
Owner
Phone
(810) 661-5939

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

5121 Flushing Rd Ste C
Flushing, MI 48433-2571

Mailing address

5121 Flushing Rd Ste C
Flushing, MI 48433-2571
Phone (734) 778-5875

National Provider Directory

National Provider Directory

Locations

5121 Flushing Rd
Ste C
Flushing, MI 48433
Phone (734) 778-5875

NPI Registry JSON

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

{
    "created_epoch": "1636588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636761600000",
    "number": "1194481333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5121 FLUSHING RD STE C",
            "city": "FLUSHING",
            "state": "MI",
            "postal_code": "484332571",
            "telephone_number": "734-778-5875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5121 FLUSHING RD STE C",
            "city": "FLUSHING",
            "state": "MI",
            "postal_code": "484332571",
            "telephone_number": "734-778-5875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR AT HOME DOCTOR P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-11",
        "last_updated": "2021-11-13",
        "certification_date": "2021-11-13",
        "status": "A",
        "authorized_official_last_name": "MOHAMED",
        "authorized_official_first_name": "MOUSA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-661-5939",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2021; 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.