Wyandotte Medical Practices

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

WYANDOTTE MEDICAL PRACTICES

Doing business as

Riverside Family Physicians

Practice address

1640 Fort St
Suite D
Trenton, MI 48183-2040

Phone

(734) 671-6741

Fax

(734) 671-1038

NPI assigned

Apr 17, 2007

Last updated

Oct 16, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

James Miller

Title

Cfo

Phone

(734) 246-6044

Specialties & licenses 1

Addresses

Other names 1

• Riverside Family Physicians Doing business as

Locations

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350345600000",
    "number": "1356566947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 674102",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482674102",
            "telephone_number": "734-324-3912",
            "fax_number": "734-324-3976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 FORT ST",
            "address_2": "SUITE D",
            "city": "TRENTON",
            "state": "MI",
            "postal_code": "481832040",
            "telephone_number": "734-671-6741",
            "fax_number": "734-671-1038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYANDOTTE MEDICAL PRACTICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2012-10-16",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "734-246-6044"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riverside Family Physicians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Worthy Counseling Services, LLC
• Candice Worthy, LPC,NCC
• Owusua Yena Wosornu, RPH
• Xiang Yu Wu, DO
• Wyandotte Medical Practices
• Sarah Yahfoufi, DO
• Tyler Zachary Yates, DO
• Sara J Young, NP
• Saba Zafar, D.O.
• Paul Zakhary, DO

• Family Medicine Physician in Trenton, MI
• Providers in Trenton, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2012; 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.