Primary Care Specialists, P.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PRIMARY CARE SPECIALISTS, P.C.

Practice address

33611 Warren Rd
Westland, MI 48185-2787

Phone

(734) 641-8900

Fax

(734) 641-8970

NPI assigned

Nov 19, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Kathleen L Banach

Title

Office Manager

Phone

(734) 641-8900

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1195430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195430400000",
    "number": "1356522247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33611 WARREN RD",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481852787",
            "telephone_number": "734-641-8900",
            "fax_number": "734-641-8970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33611 WARREN RD",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481852787",
            "telephone_number": "734-641-8900",
            "fax_number": "734-641-8970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE SPECIALISTS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-19",
        "last_updated": "2007-11-19",
        "status": "A",
        "authorized_official_last_name": "BANACH",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "734-641-8900",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4383661",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4383670",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cynthia Wade Price
• Primacare Mental Health & Consultation
• Primacare, L.L.C.
• Primacare, LLC
• Primary Care Plus, PLLC
• Prime Care Physical Therapy and Rehabilitation LLC
• Prime Garden City Medical Group
• Prime Garden City Medical Group
• Prime Health to Heart LLC
• Kristin Prince, MSW

• Internal Medicine Physician in Westland, MI
• Providers in Westland, 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 Nov 19, 2007; 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.