Phoenix Medical Associates

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

PHOENIX MEDICAL ASSOCIATES

Practice address

22150 Greenfield Rd Ste 101B
Oak Park, MI 48237-2535

Phone

(248) 591-4158

Fax

(248) 591-4168

NPI assigned

Sep 11, 2012

Organization subpart

No

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

Authorized official

Name

Frank Middleton

Title

Director

Phone

(248) 591-4158

Specialties & licenses 1

Addresses

Tax ID family

Phoenix Medical Associates2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Phoenix Medical Associates LLC

  • Physical Therapist
  • Oak Park, MI
  • NPI 1316372774
  NPD tax ID

Locations

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

{
    "created_epoch": "1347321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347321600000",
    "number": "1366792087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22150 GREENFIELD RD STE 101B",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482372535",
            "telephone_number": "248-591-4158",
            "fax_number": "248-591-4168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22150 GREENFIELD RD STE 101B",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482372535",
            "telephone_number": "248-591-4158",
            "fax_number": "248-591-4168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX MEDICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-11",
        "last_updated": "2012-09-11",
        "status": "A",
        "authorized_official_last_name": "MIDDLETON",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "248-591-4158"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyireshia Michelle Perry
• Personal Rehab Services P.C.
• Destiny Peterson, PHD
• Paul M Petre, M.D.
• Eman Petros, GENERAL DENTIST
• Phoenix Medical Associates LLC
• Physical Medicine& Rehabilitation Consultant and Pain Management,P.C.
• Physical Rehab Service LLC
• Alanna Doria Piche
• Mary Pietrzyk, OT

• Adult Day Care Clinic/Center in Oak Park, MI
• Providers in Oak Park, MI by specialty
• Adult Day Care Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.