Heritage Medical Group P.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

HERITAGE MEDICAL GROUP P.C.

Practice address

22301 Kelly Rd
Eastpointe, MI 48021-2619

Phone

(586) 443-5588

NPI assigned

May 6, 2016

Last updated

May 6, 2016By 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

Farzin R Namei

Title

Owner

Phone

(586) 443-5588

Specialties & licenses 1

Addresses

Tax ID family

Heritage Medical Group2 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.

• Heritage Medical Group

  • General Practice Physician
  • Eastpointe, MI
  • NPI 1407803927
  NPD tax ID

Locations

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

{
    "created_epoch": "1462492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462492800000",
    "number": "1376999573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22301 KELLY RD",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "480212619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22301 KELLY RD",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "480212619",
            "telephone_number": "586-443-5588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE MEDICAL GROUP P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-06",
        "last_updated": "2016-05-06",
        "status": "A",
        "authorized_official_last_name": "NAMEI",
        "authorized_official_first_name": "FARZIN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-443-5588"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Evette Henderson, BS
• Henry Ford Health System (Greenfield Health Systems)
• Mynhia Her
• Herfert Chiropractic Clinic P C
• Heritage Medical Group
• Steven Heuer, D.C
• Mykia Hickerson
• Stacey Dawn Hickman, MA, LLPC
• Andray David Higgins II
• Hijoo Kim MD PLLC

• Family Medicine Physician in Eastpointe, MI
• Providers in Eastpointe, 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 May 6, 2016; 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.