Active NPI
Hope Primary Care Romulus
- Legal Medicine
- Davison, MI
National Provider Identifier
1295096345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Legal Medicine
- License
- 4301056997
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Legal Medicine | 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 DirectoryNPI 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.