NPIMap

Organization Active NPI

Famped PC

  • Family Medicine Physician
  • Ann Arbor, MI
National Provider Identifier
1255343836
Registry record updated Jul 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301406564 Issued in MI
Legal business name
FAMPED PC
Practice address
2515 Packard St
Suite G
Ann Arbor, MI 48104-6806
Phone
(734) 747-7551
NPI assigned
Aug 12, 2006
Last updated
Jul 23, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2010

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

Authorized official

Name
Francis Nwankwo, M.D.NPI 1144232620
Title
President
Phone
(734) 747-7551

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 4301406564 MI Primary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X 4301406564 MI

Addresses

Primary practice location

2515 Packard St
Suite G
Ann Arbor, MI 48104-6806

Mailing address

2515 Packard St
Suite G
Ann Arbor, MI 48104-6806

Other identifiers 1

IdentifierTypeStateIssuer
4497949MedicaidMI

National Provider Directory

National Provider Directory

Locations

29150 Carlysle St
Ste 139
Inkster, MI 48141
Phone (734) 747-7551

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279843200000",
    "number": "1255343836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2515 PACKARD ST",
            "address_2": "SUITE G",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481046806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2515 PACKARD ST",
            "address_2": "SUITE G",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481046806",
            "telephone_number": "734-747-7551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMPED PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-12",
        "last_updated": "2010-07-23",
        "status": "A",
        "authorized_official_last_name": "NWANKWO",
        "authorized_official_first_name": "FRANCIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-747-7551",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301406564",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301406564",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4497949",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2010; 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.