Organization Active NPI

Professional Occupational and Environmental Medicine, PLC

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Taylor, MI
National Provider Identifier
1275680753
Registry record updated May 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Undersea and Hyperbaric Medicine (Preventive Medicine) PhysicianTaxonomy code 2083P0011X
License
4301078897 Issued in MI
Legal business name
PROFESSIONAL OCCUPATIONAL AND ENVIRONMENTAL MEDICINE, PLC
Practice address
10000 Telegraph Rd
The Center for Wound Healing & Hyperbaric Medicine
Taylor, MI 48180-3330
Phone
(313) 295-5343
Fax
(313) 295-5315
NPI assigned
Jan 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2011

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

Authorized official

Name
Dr. Bindesh Kiritkumar Patel, M.D.NPI 1063478956
Title
Doctor
Phone
(734) 934-4854

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Undersea and Hyperbaric Medicine (Preventive Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2083P0011X 4301078897 MI Primary
Primary Care Clinic/Center 261QP2300X 4301078897 MI
Occupational Medicine Clinic/Center 261QX0100X 4301078897 MI

Addresses

Primary practice location

10000 Telegraph Rd
The Center for Wound Healing & Hyperbaric Medicine
Taylor, MI 48180-3330

Mailing address

49025 Woodson Way
Canton, MI 48187-6673
Phone (734) 934-4854

Other identifiers 1

IdentifierTypeStateIssuer
0951039OtherMIBLUE CROSS BLUE SHIELD

Other names 1

  • Professional Preventative Medicine, PLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081208000666 MI Part B Supplier - Clinic/Group Practice 7012078124 Receives reassigned benefits from 1 practitioner
Practice locations: Taylor, MI

National Provider Directory

National Provider Directory

Locations

16801 Newburgh Rd
Ste 11
Livonia, MI 48154
Phone (734) 953-4155

Practitioners & affiliated clinicians

Practitioners 2

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": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306281600000",
    "number": "1275680753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49025 WOODSON WAY",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481876673",
            "telephone_number": "734-934-4854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 TELEGRAPH RD",
            "address_2": "THE CENTER FOR WOUND HEALING & HYPERBARIC MEDICINE",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481803330",
            "telephone_number": "313-295-5343",
            "fax_number": "313-295-5315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL OCCUPATIONAL AND ENVIRONMENTAL MEDICINE, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2011-05-25",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "BINDESH",
        "authorized_official_middle_name": "KIRITKUMAR",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "734-934-4854",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2083P0011X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": "MI",
            "license": "4301078897",
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MI",
            "license": "4301078897",
            "primary": false
        },
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "MI",
            "license": "4301078897",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0951039",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Professional Preventative Medicine, PLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Taylor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.