Tel-Ford Medical Walkin Clinic PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

5101005442 Issued in MI

Legal business name

TEL-FORD MEDICAL WALKIN CLINIC PLLC

Practice address

2220 N Telegraph Rd
Dearborn, MI 48128-2213

Phone

(313) 563-4506

Fax

(313) 563-8443

NPI assigned

Oct 19, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Irwin Marcus Lutwin, D.O.

Title

Doctor

Phone

(313) 563-4506

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1255910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255910400000",
    "number": "1386970838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 N TELEGRAPH RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481282213",
            "telephone_number": "313-563-4506",
            "fax_number": "313-563-8443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 N TELEGRAPH RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481282213",
            "telephone_number": "313-563-4506",
            "fax_number": "313-563-8443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEL-FORD MEDICAL WALKIN CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-19",
        "last_updated": "2009-10-19",
        "status": "A",
        "authorized_official_last_name": "LUTWIN",
        "authorized_official_first_name": "IRWIN",
        "authorized_official_middle_name": "MARCUS",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "313-563-4506",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101005442",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "1013979244",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013979244",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Markyiah Taylor
• Tbdmi LLC
• Mark Teague
• Team Mental Health Services
• Tel Ford Medical PC
• Telegraph Pharmacy LLC
• Tenny Internal Medicine PLLC
• Trent Michael Tennyson, M.D.
• Teper Care LLC
• Theresa Marie Ternes, D.C.

• Family Medicine Physician in Dearborn, MI
• Providers in Dearborn, 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 Oct 19, 2009; 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.