Trinity Health Academic Internal Medicine-Northwest Livonia

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Legal business name

TRINITY HEALTH ACADEMIC INTERNAL MEDICINE-NORTHWEST LIVONIA

Practice address

36475 Five Mile Rd
Livonia, MI 48154-1971

Phone

(734) 793-2470

NPI assigned

Oct 17, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Viktor Laporte

Title

Gme Administrator

Phone

(734) 343-1000

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mubarak Ali

  • Student in an Organized Health Care Education/Training Program
  • Livonia, MI
  • NPI 1689426116

  Single Specialty

  NPD

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

{
    "created_epoch": "1729123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729123200000",
    "number": "1346060977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37595 7 MILE RD STE 340",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481521489",
            "telephone_number": "734-793-2470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36475 FIVE MILE RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481541971",
            "telephone_number": "734-793-2470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY HEALTH ACADEMIC INTERNAL MEDICINE-NORTHWEST LIVONIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-17",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A",
        "authorized_official_last_name": "LAPORTE",
        "authorized_official_first_name": "VIKTOR",
        "authorized_official_title_or_position": "GME ADMINISTRATOR",
        "authorized_official_telephone_number": "734-343-1000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany K Trigge
• Trinity 3 Enterprise Inc
• Trinity Continuing Care Service
• Trinity Continuing Care Services
• Trinity Health - Michigan
• Trinity Health-Michigan
• Trinity Home Health Services
• Trinity Home Health Services
• Trinity Home Health Services
• Trinity Home Health Services

• Student in an Organized Health Care Education/Training Program in Livonia, MI
• Providers in Livonia, MI by specialty
• Student in an Organized Health Care Education/Training Program in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; 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.