Family Care Medical Clinic PLLC

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Legal business name

FAMILY CARE MEDICAL CLINIC PLLC

Practice address

30785 Stephenson Hwy
Madison Heights, MI 48071-1618

Phone

(248) 439-2190

NPI assigned

May 3, 2013

Last updated

Nov 15, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Erica McEvoy

Title

Office Manager

Phone

(248) 541-2222

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ralph Wiktor, PA-C

  • Physician Assistant
  • Grand Blanc, MI
  • NPI 1285674044

  Medical

  NPD (past)

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

{
    "created_epoch": "1367539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384473600000",
    "number": "1205271244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30785 STEPHENSON HWY",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480711618",
            "telephone_number": "248-439-2190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30785 STEPHENSON HWY",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480711618",
            "telephone_number": "248-439-2190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CARE MEDICAL CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-03",
        "last_updated": "2013-11-15",
        "status": "A",
        "authorized_official_last_name": "MCEVOY",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "248-541-2222"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ranna Esho, PHARMD
• Gino Shwkat Etta, MD
• Evolve Pharmacy LLC
• Rita Ezeh
• Family Care Dentistry
• Oluwafemi Fashina
• Karen Elizabeth Fecteau, MACCC
• Alexis Wagman Federman, D.O.
• Myron Fedoriw
• Erwin E Feldman, D.O.

• Medical Physician Assistant in Madison Heights, MI
• Providers in Madison Heights, MI by specialty
• Medical Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2013; 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.