Organization Active NPI

Premier Integrated Healthcare Group PLLC

  • Internal Medicine Physician
  • Allen Park, MI
National Provider Identifier
1396392320
Registry record updated Aug 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PREMIER INTEGRATED HEALTHCARE GROUP PLLC
Practice address
15101 Southfield Rd Ste 105
Allen Park, MI 48101-2664
Phone
(313) 336-3180
NPI assigned
Aug 23, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2019

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

Authorized official

Name
Munir El-Beck, MD
Title
President/Owner
Phone
(248) 854-5357

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

15101 Southfield Rd Ste 105
Allen Park, MI 48101-2664

Mailing address

15101 Southfield Rd Ste 105
Allen Park, MI 48101-2664
Phone (313) 336-3180

National Provider Directory

National Provider Directory

Locations

15101 Southfield Rd
Ste 105
Allen Park, MI 48101
Phone (313) 336-3180

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1566518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566518400000",
    "number": "1396392320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15101 SOUTHFIELD RD STE 105",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481012664",
            "telephone_number": "313-336-3180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15101 SOUTHFIELD RD STE 105",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481012664",
            "telephone_number": "313-336-3180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER INTEGRATED HEALTHCARE GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-23",
        "last_updated": "2019-08-23",
        "status": "A",
        "authorized_official_last_name": "EL-BECK",
        "authorized_official_first_name": "MUNIR",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "248-854-5357",
        "authorized_official_credential": "MD"
    },
    "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 Allen Park, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2019; 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.