Organization Active NPI

Rochester Primary Care Holdings

  • Preferred Provider Organization
  • Rochester Hills, MI
National Provider Identifier
1306377320
Registry record updated Mar 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
RS075798 Issued in MI
Legal business name
ROCHESTER PRIMARY CARE HOLDINGS
Practice address
1349 S Rochester Rd
Suite 100
Rochester Hills, MI 48307-3150
Phone
(248) 759-5460
Fax
(248) 923-2446
NPI assigned
Mar 22, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2017

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

Authorized official

Name
Ramkrishna Surendran, MD
Title
MD
Phone
(248) 759-5460

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X RS075798 MI Primary
Preferred Provider Organization 305R00000X SR079574 MI

Addresses

Primary practice location

1349 S Rochester Rd
Suite 100
Rochester Hills, MI 48307-3150

Mailing address

1349 S Rochester Rd
Suite 100
Rochester Hills, MI 48307-3150
Phone (248) 759-5460

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1490140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490140800000",
    "number": "1306377320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1349 S ROCHESTER RD",
            "address_2": "SUITE 100",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483073150",
            "telephone_number": "248-759-5460",
            "fax_number": "248-923-2446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1349 S ROCHESTER RD",
            "address_2": "SUITE 100",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483073150",
            "telephone_number": "248-759-5460",
            "fax_number": "248-923-2446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCHESTER PRIMARY CARE HOLDINGS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-22",
        "last_updated": "2017-03-22",
        "status": "A",
        "authorized_official_last_name": "SURENDRAN",
        "authorized_official_first_name": "RAMKRISHNA",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "248-759-5460",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "MI",
            "license": "RS075798",
            "primary": true
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "MI",
            "license": "SR079574",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2017; 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.