Elite Visiting Physicians

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

ELITE VISITING PHYSICIANS

Practice address

24100 Southfield Rd Ste 105
Southfield, MI 48075-2850

Phone

(313) 308-5120

NPI assigned

Apr 16, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Leonard Ellison Jr., MD

Title

President

Phone

(313) 308-5120

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1555372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555372800000",
    "number": "1316500267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24100 SOUTHFIELD RD STE 105",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480752850",
            "telephone_number": "313-308-5120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24100 SOUTHFIELD RD STE 105",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480752850",
            "telephone_number": "313-308-5120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE VISITING PHYSICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-16",
        "last_updated": "2019-04-16",
        "status": "A",
        "authorized_official_last_name": "ELLISON",
        "authorized_official_first_name": "LEONARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-308-5120",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elite Management Trasportation
• Elite Medical Transportation R&D
• Elite Neurospine & Orthorehab P.C.
• Elite Physical Therapy of Southfield LLC
• Elite Therapy Solutions Inc.
• Elk Medical Equipment
• Mohammed Elkafarneh
• Jennifer D Elkins, R.D.
• Jessica Ellard, LMSW
• Myranda Ellingsen

• Internal Medicine Physician in Southfield, MI
• Providers in Southfield, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2019; 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.