Organization Active NPI

Sunrise Geriatric Physicians, PLLC

  • General Practice Physician
  • Waterford, MI
National Provider Identifier
1366759573
Registry record updated Sep 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
SUNRISE GERIATRIC PHYSICIANS, PLLC
Practice address
2507 Woodbourne Dr
Waterford, MI 48329-2475
Phone
(248) 860-1798
NPI assigned
Sep 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2010

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

Authorized official

Name
Frank D Winters, DO
Title
President/Owner
Phone
(248) 860-1798

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

2507 Woodbourne Dr
Waterford, MI 48329-2475

Mailing address

2507 Woodbourne Dr
Waterford, MI 48329-2475

National Provider Directory

National Provider Directory

Locations

28032 Warren Rd
Westland, MI 48185
Phone (313) 502-1138

NPI Registry JSON

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

{
    "created_epoch": "1283990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283990400000",
    "number": "1366759573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2507 WOODBOURNE DR",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483292475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2507 WOODBOURNE DR",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483292475",
            "telephone_number": "248-860-1798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE GERIATRIC PHYSICIANS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-09",
        "last_updated": "2010-09-09",
        "status": "A",
        "authorized_official_last_name": "WINTERS",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "248-860-1798",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterford, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.