Active NPI
Tri-County Physician Group PC
- Internal Medicine Physician
- Detroit, MI
National Provider Identifier
1386942035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- TRI-COUNTY PHYSICIAN GROUP PC
- Practice address
- 3011 W Grand Blvd
Suite 307
Detroit, MI 48202-3096 - Phone
- (313) 986-1011
- NPI assigned
- Mar 4, 2011
- 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
- Kelly Owens
- Title
- Administration
- Phone
- (313) 986-1011
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
3011 W Grand Blvd
Suite 307
Detroit, MI 48202-3096
Mailing address
3011 W Grand Blvd
Suite 307
Detroit, MI 48202-3096
Phone (313) 986-1011
National Provider Directory
National Provider DirectoryLocations
3011 W Grand Blvd
Ste 307
Detroit, MI 48202
Phone (313) 832-8008
2100 W Alexis Rd
Ste B3
Toledo, OH 43613
Phone (419) 458-3686
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Emergency Medicine Physician
- Garden City, MI
- NPI 1326026006
-
- Interventional Pain Medicine Physician
- Saginaw, MI
- NPI 1770637670
-
- Interventional Pain Medicine Physician
- Bloomfield Hills, MI
- NPI 1629217872
-
- Neurology Physician
- Farmington, MI
- NPI 1922096452
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299196800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1469491200000",
"number": "1386942035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3011 W GRAND BLVD",
"address_2": "SUITE 307",
"city": "DETROIT",
"state": "MI",
"postal_code": "482023096",
"telephone_number": "313-986-1011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3011 W GRAND BLVD",
"address_2": "SUITE 307",
"city": "DETROIT",
"state": "MI",
"postal_code": "482023096",
"telephone_number": "313-986-1011"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRI-COUNTY PHYSICIAN GROUP PC",
"organizational_subpart": "NO",
"enumeration_date": "2011-03-04",
"last_updated": "2016-07-26",
"status": "A",
"authorized_official_last_name": "OWENS",
"authorized_official_first_name": "KELLY",
"authorized_official_title_or_position": "ADMINISTRATION",
"authorized_official_telephone_number": "313-986-1011"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.