Active NPI
Serge Jean-Louis, MD,PC
- Primary Care Clinic/Center
- Farmington Hills, MI
National Provider Identifier
1295036978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- 4301040285
- Legal business name
- SERGE JEAN-LOUIS, MD,PC
- Practice address
- 35874 Congress Rd
Farmington Hills, MI 48335-1224 - Phone
- (248) 473-2973
- NPI assigned
- Nov 10, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Serge Jean-Louis, M.D
- Title
- Executive Director
- Phone
- (313) 867-8015
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | 4301040285 | MI | Primary |
Addresses
Primary practice location
35874 Congress Rd
Farmington Hills, MI 48335-1224
Mailing address
300 W McNichols Rd
Detroit, MI 48203-2703
Phone (313) 867-8015
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289347200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1289347200000",
"number": "1295036978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 W MCNICHOLS RD",
"city": "DETROIT",
"state": "MI",
"postal_code": "482032703",
"telephone_number": "313-867-8015",
"fax_number": "313-867-8040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35874 CONGRESS RD",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483351224",
"telephone_number": "248-473-2973"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SERGE JEAN-LOUIS, MD,PC",
"organizational_subpart": "NO",
"enumeration_date": "2010-11-10",
"last_updated": "2010-11-10",
"status": "A",
"authorized_official_last_name": "JEAN-LOUIS",
"authorized_official_first_name": "SERGE",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "313-867-8015",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "MI",
"license": "4301040285",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Farmington Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.