Vanguard Family Health Care PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MP005908 Issued in MI

Legal business name

VANGUARD FAMILY HEALTH CARE PC

Doing business as

Vanguard Family Healt h Care, PLLC

Practice address

10809 Mack Ave
Detroit, MI 48214-2119

Phone

(313) 824-1000

Fax

(313) 824-9000

NPI assigned

Feb 5, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Linda Popoff

Title

Secretary

Phone

(313) 824-1000

Specialties & licenses 2

Addresses

Other names 1

• Vanguard Family Healt h Care, PLLC Doing business as

Locations

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438905600000",
    "number": "1194864462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10809 MACK AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482142119",
            "telephone_number": "313-824-1000",
            "fax_number": "313-824-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10809 MACK AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482142119",
            "telephone_number": "313-824-1000",
            "fax_number": "313-824-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANGUARD FAMILY HEALTH CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2015-08-07",
        "status": "A",
        "authorized_official_last_name": "POPOFF",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "313-824-1000",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "MP005908",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "JB002247",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vanguard Family Healt h Care, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carole Vandyke, P.A.
• Karra Ann Vanfleteren, NNP
• Ashley Vang
• Stephen J Vangel, PHD
• Leanne Grace Vangilder, CRNA
• David J. Vangura, MD
• Reta Vanhooks
• Grace Vankannel
• Craig Vankempen, LMSW
• Brandi N Vanklompenberg, MA

• Family Medicine Physician in Detroit, MI
• Providers in Detroit, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2015; 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.