Metro Physicians PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301098588 Issued in MI

Legal business name

METRO PHYSICIANS PLLC

Practice address

5555 Conner St Ste 2075
Detroit, MI 48213-3492

Phone

(313) 579-9010

NPI assigned

Aug 10, 2016

Organization subpart

No

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

Authorized official

Name

Maurice Swift

Title

Administrator

Phone

(313) 579-9010

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1470787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470787200000",
    "number": "1215481981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5555 CONNER ST STE 2075",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482133492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 CONNER ST STE 2075",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482133492",
            "telephone_number": "313-579-9010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO PHYSICIANS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-10",
        "last_updated": "2016-08-10",
        "status": "A",
        "authorized_official_last_name": "SWIFT",
        "authorized_official_first_name": "MAURICE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "313-579-9010"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301098588",
            "primary": true
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "MI",
            "license": "4301098588",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4301098588",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Metro Family Pharmacy LLC
• Metro Man I Inc
• Metro Medical Home Suppliers
• Metro Peak Assistance Inc
• Metro Physical Therapy,Inc.
• Metro T'S Transportation, LLC
• Metro Women'S Health II, PLLC
• Metro Womens Health PLLC
• Metrocare Health Services
• Metropolitan Agency for Retarded

• 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 10, 2016; 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.