Organization Active NPI

Family Medicine and Wellness, PLLC

  • Family Medicine Physician
  • Troy, MI
National Provider Identifier
1407519812
Registry record updated Oct 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FAMILY MEDICINE AND WELLNESS, PLLC
Practice address
1579 W Big Beaver Rd Ste B5
Troy, MI 48084-3504
Phone
(248) 759-0993
Fax
(248) 450-0270
NPI assigned
Oct 21, 2021
Last updated
Oct 21, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2021

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

Authorized official

Name
Roufaida Almisky, MDNPI 1821023466
Title
Physician
Phone
(248) 759-0993

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

1579 W Big Beaver Rd Ste B5
Troy, MI 48084-3504

Mailing address

3646 Sweet Bay CT
Oakland, MI 48363-2659
Phone (248) 659-2136

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D2230108Family Medicine and Wellness, PLLC1579 W Big Beaver Road Suite B5, Troy, MI 48084Certificate of waiverJul 19, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1634774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634774400000",
    "number": "1407519812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3646 SWEET BAY CT",
            "city": "OAKLAND",
            "state": "MI",
            "postal_code": "483632659",
            "telephone_number": "248-659-2136",
            "fax_number": "248-450-0270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1579 W BIG BEAVER RD STE B5",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480843504",
            "telephone_number": "248-759-0993",
            "fax_number": "248-450-0270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICINE AND WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-21",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-21",
        "status": "A",
        "authorized_official_last_name": "ALMISKY",
        "authorized_official_first_name": "ROUFAIDA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "248-759-0993",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.