Active NPI
Visiting Physicians, PC
- Clinic/Center
- Southfield, MI
National Provider Identifier
1376814699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- 4301091092
- Legal business name
- VISITING PHYSICIANS, PC
- Practice address
- 17260 W 10 Mile Rd
Southfield, MI 48075-2949 - Phone
- (313) 878-8454
- NPI assigned
- Jan 18, 2012
- 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
- Fitzgerald Hudson, MD
- Title
- President
- Phone
- (313) 878-8454
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | 4301091092 | MI | Primary |
Addresses
Primary practice location
17260 W 10 Mile Rd
Southfield, MI 48075-2949
Mailing address
17260 W 10 Mile Rd
Southfield, MI 48075-2949
Phone (313) 878-8454
National Provider Directory
National Provider DirectoryLocations
17260 W 10 Mile Rd
Southfield, MI 48075
Phone (248) 595-8271
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326844800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1326844800000",
"number": "1376814699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17260 W 10 MILE RD",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480752949",
"telephone_number": "313-878-8454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17260 W 10 MILE RD",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480752949",
"telephone_number": "313-878-8454"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VISITING PHYSICIANS, PC",
"organizational_subpart": "NO",
"enumeration_date": "2012-01-18",
"last_updated": "2012-01-18",
"status": "A",
"authorized_official_last_name": "HUDSON",
"authorized_official_first_name": "FITZGERALD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "313-878-8454",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "MI",
"license": "4301091092",
"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 Jan 18, 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.