Active NPI
Saint Joseph Clinic PC
- Internal Medicine Physician
- Southfield, MI
National Provider Identifier
1356680284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 430105478
- Legal business name
- SAINT JOSEPH CLINIC PC
- Practice address
- 23077 Greenfield Rd Ste 240
Southfield, MI 48075-3744 - Phone
- (248) 809-6402
- Fax
- (248) 809-6417
- NPI assigned
- Feb 13, 2013
- Last updated
- Feb 13, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Norma Barrett
- Title
- Billing Manager
- Phone
- (248) 809-6402
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 430105478 | MI | Primary |
Addresses
Primary practice location
23077 Greenfield Rd Ste 240
Southfield, MI 48075-3744
Mailing address
23077 Greenfield Rd Ste 240
Southfield, MI 48075-3744
Phone (248) 809-6402
National Provider Directory
National Provider Directory- Tax ID family
- Saint Joseph Clinic PC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pain Medicine Physician
- Southfield, MI
- NPI 1285974790
Locations
23077 Greenfield Rd
Ste 240
Southfield, MI 48075
Phone (248) 747-0263
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Pain Medicine Physician
- Southfield, MI
- NPI 1285974790
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360713600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1360713600000",
"number": "1356680284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23077 GREENFIELD RD STE 240",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480753744",
"telephone_number": "248-809-6402",
"fax_number": "248-809-6417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23077 GREENFIELD RD STE 240",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480753744",
"telephone_number": "248-809-6402",
"fax_number": "248-809-6417"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAINT JOSEPH CLINIC PC",
"organizational_subpart": "NO",
"enumeration_date": "2013-02-13",
"last_updated": "2013-02-13",
"status": "A",
"authorized_official_last_name": "BARRETT",
"authorized_official_first_name": "NORMA",
"authorized_official_title_or_position": "BILLING MANAGER",
"authorized_official_telephone_number": "248-809-6402"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "430105478",
"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 Feb 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.