NPIMap

Organization Active NPI

Warren Family Medical Center PLLC

  • Family Medicine Physician
  • Warren, MI
National Provider Identifier
1265874150
Registry record updated Jul 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301090722 Issued in MI
Legal business name
WARREN FAMILY MEDICAL CENTER PLLC
Practice address
26000 Hoover Rd
100
Warren, MI 48089-1167
Phone
(586) 722-0707
NPI assigned
Jul 22, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2013

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

Authorized official

Name
Rakesh Soni, MD
Title
MD
Phone
(586) 722-0707

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 4301090722 MI Primary

Addresses

Primary practice location

26000 Hoover Rd
100
Warren, MI 48089-1167

Mailing address

26000 Hoover Rd
100
Warren, MI 48089-1167
Phone (586) 722-0707

National Provider Directory

National Provider Directory

Locations

26000 Hoover Rd
Ste 100
Warren, MI 48089
Phone (586) 722-0707

26000 Hoover Rd
#100
Warren, MI 48089
Phone (586) 722-0707

NPI Registry JSON

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

{
    "created_epoch": "1374451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374451200000",
    "number": "1265874150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26000 HOOVER RD",
            "address_2": "100",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480891167",
            "telephone_number": "586-722-0707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26000 HOOVER RD",
            "address_2": "100",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480891167",
            "telephone_number": "586-722-0707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARREN FAMILY MEDICAL CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-22",
        "last_updated": "2013-07-22",
        "status": "A",
        "authorized_official_last_name": "SONI",
        "authorized_official_first_name": "RAKESH",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "586-722-0707",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301090722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.