Organization Active NPI

Shelby Macomb Family Practice, P.C.

  • Family Medicine Physician
  • Clinton Township, MI
National Provider Identifier
1285756643
Registry record updated Apr 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SHELBY MACOMB FAMILY PRACTICE, P.C.
Practice address
42500 Hayes Rd Suite 800
Clinton Township, MI 48038-6761
Phone
(586) 228-0200
NPI assigned
Apr 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2008

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

Authorized official

Name
Dr. Gregory J Henk, D.O.
Title
Owner
Phone
(586) 228-0200

Specialties & licenses 1

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

Addresses

Primary practice location

42500 Hayes Rd Suite 800
Clinton Township, MI 48038-6761

Mailing address

42500 Hayes Rd Suite 800
Clinton Township, MI 48038-6761
Phone (586) 228-0200

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1175731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207872000000",
    "number": "1285756643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42500 HAYES RD SUITE 800",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480386761",
            "telephone_number": "586-228-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42500 HAYES RD SUITE 800",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480386761",
            "telephone_number": "586-228-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELBY MACOMB FAMILY PRACTICE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-05",
        "last_updated": "2008-04-11",
        "status": "A",
        "authorized_official_last_name": "HENK",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-228-0200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2008; 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.