NPIMap

Organization Active NPI

Faithful, Caring& Compassionate Doctors, PLC

  • Internal Medicine Physician
  • Southfield, MI
National Provider Identifier
1205071685
Registry record updated Dec 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
FAITHFUL, CARING& COMPASSIONATE DOCTORS, PLC
Practice address
19111 W 10 Mile Rd
Suite # 164
Southfield, MI 48075-2417
Phone
(248) 354-0767
Fax
(248) 354-0806
NPI assigned
Dec 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2008

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

Authorized official

Name
Dr. Sharon Marie Roddy, M.D.NPI 1548478829
Title
President
Phone
(248) 354-0767

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

19111 W 10 Mile Rd
Suite # 164
Southfield, MI 48075-2417

Mailing address

19111 W 10 Mile Rd
Suite # 164
Southfield, MI 48075-2449
Phone (248) 354-0767

Other identifiers 2

IdentifierTypeStateIssuer
1106335072OtherMIBCBS PIN
3511909MedicaidMI

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": "1229040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229040000000",
    "number": "1205071685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19111 W 10 MILE RD",
            "address_2": "SUITE # 164",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480752449",
            "telephone_number": "248-354-0767",
            "fax_number": "248-354-0806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19111 W 10 MILE RD",
            "address_2": "SUITE # 164",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480752417",
            "telephone_number": "248-354-0767",
            "fax_number": "248-354-0806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITHFUL, CARING& COMPASSIONATE DOCTORS, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-12",
        "last_updated": "2008-12-12",
        "status": "A",
        "authorized_official_last_name": "RODDY",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-354-0767",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PIN",
            "identifier": "1106335072",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3511909",
            "state": "MI"
        }
    ],
    "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 Dec 12, 2008; 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.