Organization Active NPI

Steadyhand Medical Group FL PA

  • Family Medicine Physician
  • Troy, MI
National Provider Identifier
1407560782
Registry record updated Jan 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
STEADYHAND MEDICAL GROUP FL PA
Practice address
755 W Big Beaver Rd Ste 2020
Troy, MI 48084-4925
Phone
(844) 904-1713
Fax
(844) 909-4644
NPI assigned
Jan 11, 2023
Last updated
Jan 11, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
STEADYHAND MEDICAL GROUP FL PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 11, 2023

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

Authorized official

Name
Kamarr Brown
Title
Authorized Person
Phone
(215) 709-5670

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

755 W Big Beaver Rd Ste 2020
Troy, MI 48084-4925

Mailing address

755 W Big Beaver Rd Ste 2020
Troy, MI 48084-4925
Phone (844) 904-1713

National Provider Directory

National Provider Directory
Tax ID family
Steadyhand Medical Group FL PA3 organizations share this tax ID, including this one
Part of
Steadyhand Medical Group FL PA

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1673395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673395200000",
    "number": "1407560782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 W BIG BEAVER RD STE 2020",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480844925",
            "telephone_number": "844-904-1713",
            "fax_number": "844-909-4644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 W BIG BEAVER RD STE 2020",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480844925",
            "telephone_number": "844-904-1713",
            "fax_number": "844-909-4644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEADYHAND MEDICAL GROUP FL PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STEADYHAND MEDICAL GROUP FL PA",
        "enumeration_date": "2023-01-11",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "KAMARR",
        "authorized_official_title_or_position": "AUTHORIZED PERSON",
        "authorized_official_telephone_number": "215-709-5670"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "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 Jan 11, 2023; 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.