Organization Active NPI

Canton OB-GYN Group P.L.C.

  • Obstetrics & Gynecology Physician
  • Canton, MI
National Provider Identifier
1285232322
Registry record updated Mar 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
CANTON OB-GYN GROUP P.L.C.
Practice address
2050 N Haggerty Rd Ste 140
Canton, MI 48187-3796
Phone
(734) 306-8233
NPI assigned
Oct 12, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2021

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

Authorized official

Name
Lijia Zhu, M.D.NPI 1669443388
Title
OB/GYN
Phone
(313) 717-1501

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

2050 N Haggerty Rd Ste 140
Canton, MI 48187-3796

Mailing address

50475 Belmont CT
Canton, MI 48187-4441
Phone (313) 717-1501

Other identifiers 1

IdentifierTypeStateIssuer
1285232322MedicaidMI

National Provider Directory

National Provider Directory

Locations

2050 N Haggerty Rd
Ste 140
Canton, MI 48187
Phone (734) 259-0500

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22719/brand/1/csg/1/fhir/r4

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": "1602460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614816000000",
    "number": "1285232322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50475 BELMONT CT",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481874441",
            "telephone_number": "313-717-1501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 N HAGGERTY RD STE 140",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481873796",
            "telephone_number": "734-306-8233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANTON OB-GYN GROUP P.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-12",
        "last_updated": "2021-03-04",
        "certification_date": "2021-03-04",
        "status": "A",
        "authorized_official_last_name": "ZHU",
        "authorized_official_first_name": "LIJIA",
        "authorized_official_title_or_position": "OB/GYN",
        "authorized_official_telephone_number": "313-717-1501",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1285232322",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2021; 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.