Organization Active NPI

Home Physician Services PC

  • General Practice Physician
  • Southfield, MI
National Provider Identifier
1346347523
Registry record updated Mar 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
4301032562 Issued in MI
Legal business name
HOME PHYSICIAN SERVICES PC
Practice address
17520 W 12 Mile Rd Ste 109
Southfield, MI 48076-1907
Phone
(248) 228-8654
Fax
(248) 228-8656
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2010

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

Authorized official

Name
Mr. Sonjai Poonpanij, MD
Title
Owner
Phone
(248) 743-1099

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X 4301032562 MI Primary

Addresses

Primary practice location

17520 W 12 Mile Rd Ste 109
Southfield, MI 48076-1907

Mailing address

17520 W 12 Mile Rd Ste 109
Southfield, MI 48076-1907
Phone (248) 228-8654

National Provider Directory

National Provider Directory

Locations

17520 W 12 Mile Rd
Ste 109
Southfield, MI 48076
Phone (248) 228-8654

5755 New King Dr
Troy, MI 48098
Phone (248) 743-1099

1607 E Big Beaver Rd
Ste 200
Troy, MI 48083
Phone (248) 743-1099

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268006400000",
    "number": "1346347523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17520 W 12 MILE RD STE 109",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480761907",
            "telephone_number": "248-228-8654",
            "fax_number": "248-228-8656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17520 W 12 MILE RD STE 109",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480761907",
            "telephone_number": "248-228-8654",
            "fax_number": "248-228-8656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME PHYSICIAN SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2010-03-08",
        "status": "A",
        "authorized_official_last_name": "POONPANIJ",
        "authorized_official_first_name": "SONJAI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-743-1099",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "MI",
            "license": "4301032562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2010; 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.