Organization Active NPI

Nuvantage Wound Care Solutions PLLC

  • Plastic Surgery Physician
  • Southfield, MI
National Provider Identifier
1285100719
Registry record updated Oct 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
Legal business name
NUVANTAGE WOUND CARE SOLUTIONS PLLC
Practice address
21717 Rose Hollow Dr
Southfield, MI 48075-5508
Phone
(313) 520-1889
NPI assigned
Oct 23, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2018

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

Authorized official

Name
Delorean Griffin, M.D.
Title
Ceo
Phone
(313) 520-1889

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208200000X Primary

Addresses

Primary practice location

21717 Rose Hollow Dr
Southfield, MI 48075-5508

Mailing address

PO Box 3261
Farmington Hills, MI 48333-3261
Phone (313) 520-1889

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1540252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540252800000",
    "number": "1285100719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3261",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483333261",
            "telephone_number": "313-520-1889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21717 ROSE HOLLOW DR",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480755508",
            "telephone_number": "313-520-1889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUVANTAGE WOUND CARE SOLUTIONS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-23",
        "last_updated": "2018-10-23",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "DELOREAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "313-520-1889",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2018; 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.