Organization Active NPI

Hope Primary Care Romulus

  • Legal Medicine
  • Davison, MI
National Provider Identifier
1295096345
Registry record updated Jun 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
4301056997 Issued in MI
Legal business name
HOPE PRIMARY CARE ROMULUS
Practice address
9171 Lapeer Rd
Davison, MI 48423-3617
Phone
(810) 412-5590
Fax
(810) 412-5593
NPI assigned
Jun 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2012

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

Authorized official

Name
Nusrat Javaid, MD
Title
Medical Director
Phone
(810) 412-5590

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal MedicineGroup: 193400000X SINGLE SPECIALTY GROUP 173000000X 4301056997 MI Primary

Addresses

Primary practice location

9171 Lapeer Rd
Davison, MI 48423-3617

Mailing address

9340 Wayne Rd
Romulus, MI 48174-1569
Phone (810) 412-5590

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1338940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338940800000",
    "number": "1295096345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9340 WAYNE RD",
            "city": "ROMULUS",
            "state": "MI",
            "postal_code": "481741569",
            "telephone_number": "810-412-5590",
            "fax_number": "810-412-5593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9171 LAPEER RD",
            "city": "DAVISON",
            "state": "MI",
            "postal_code": "484233617",
            "telephone_number": "810-412-5590",
            "fax_number": "810-412-5593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE PRIMARY CARE ROMULUS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-06",
        "last_updated": "2012-06-06",
        "status": "A",
        "authorized_official_last_name": "JAVAID",
        "authorized_official_first_name": "NUSRAT",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "810-412-5590",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": "MI",
            "license": "4301056997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davison, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2012; 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.