Deanna S Master MD PC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

4301059342 Issued in MI

Legal business name

DEANNA S MASTER MD PC

Practice address

24110 Meadowbrook Rd
Suite #100
Novi, MI 48375-3459

Phone

(248) 987-1119

Fax

(248) 987-1118

NPI assigned

Nov 14, 2013

Last updated

Feb 19, 2014By 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

Dr. Deanna Susan Master, M.D.NPI 1437168234

Title

President

Phone

(248) 380-2868

Specialties & licenses 1

Addresses

Locations

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.

• Deanna Susan Master, MD

  • Family Medicine Physician
  • Novi, MI
  • NPI 1437168234
  Authorized official Same address or phone

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

{
    "created_epoch": "1384387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392768000000",
    "number": "1275963019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46274 PICKFORD ST",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481681817",
            "telephone_number": "248-380-2868",
            "fax_number": "248-987-1118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24110 MEADOWBROOK RD",
            "address_2": "SUITE #100",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483753459",
            "telephone_number": "248-987-1119",
            "fax_number": "248-987-1118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEANNA S MASTER MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-14",
        "last_updated": "2014-02-19",
        "status": "A",
        "authorized_official_last_name": "MASTER",
        "authorized_official_first_name": "DEANNA",
        "authorized_official_middle_name": "SUSAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-380-2868",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MI",
            "license": "4301059342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bridget Dean
• Joelle Dean
• Justin Dean
• Tayelor L Dean
• Gina Marie Deangelis, RD
• Rebekah Dearborn
• Christopher Debord
• Teddy Decarlo
• Andrew Dechart
• Jennifer Marie Decker, MS, OTR/L

• Primary Care Clinic/Center in Novi, MI
• Providers in Novi, MI by specialty
• Primary Care Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2014; 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.