Southeast Michigan Physicians Group

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

SOUTHEAST MICHIGAN PHYSICIANS GROUP

Practice address

10909 Hannan Rd
Romulus, MI 48174-1383

Phone

(734) 893-1000

Fax

(734) 893-3132

NPI assigned

Apr 28, 2016

Organization subpart

No

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

Authorized official

Name

Jill Miller

Title

Medical Biller

Phone

(734) 893-1157

Specialties & licenses 1

Addresses

Other names 1

• SEMPG Other name

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 4

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

• Carla Lee, MA, LLP, LPC

  • Psychologist
  • Westland, MI
  • NPI 1588826986
  Medicare reassignment NPD
• Jessica Richert, PSYD

  • Clinical Psychologist
  • Romulus, MI
  • NPI 1639620024
  Medicare reassignment NPD
• Anne O Akinfenwa

  • Psychologist
  • Romulus, MI
  • NPI 1356473557
  Medicare reassignment
• Kelly Lynn Long, PA-C

  • Medical Physician Assistant
  • Plymouth, MI
  • NPI 1568623338
  Medicare reassignment

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

{
    "created_epoch": "1461801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643932800000",
    "number": "1346695202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16018 S HURON RIVER DR",
            "city": "ROMULUS",
            "state": "MI",
            "postal_code": "481743619",
            "telephone_number": "734-893-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10909 HANNAN RD",
            "city": "ROMULUS",
            "state": "MI",
            "postal_code": "481741383",
            "telephone_number": "734-893-1000",
            "fax_number": "734-893-3132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST MICHIGAN PHYSICIANS GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-28",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "MEDICAL BILLER",
        "authorized_official_telephone_number": "734-893-1157"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SEMPG",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Small Business Logistics, LLC
• Smilewell Services Inc
• Antoinette Smith
• Kelly Rae Smith, LMSW
• Southeast Michigan Medical Group, PC
• Special Tree
• Special Tree Home Care Services LLC
• Special Tree Neuro Care Center
• Special Tree Neuro Care Center
• Special Tree Neuro Care Center

• Specialist in Romulus, MI
• Providers in Romulus, MI by specialty
• Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.