Active NPI
Your Physicians P.C.
- Internal Medicine Physician
- Rochester Hills, MI
National Provider Identifier
1447438759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4301074932
- Legal business name
- YOUR PHYSICIANS P.C.
- Practice address
- 1135 W University Dr
Suite 220
Rochester Hills, MI 48307-1871 - Phone
- (248) 651-1155
- Fax
- (248) 651-8537
- NPI assigned
- Feb 8, 2008
- 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
- Katie Short
- Title
- Office Manager
- Phone
- (248) 651-1155
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301074932 | MI | Primary |
Addresses
Primary practice location
1135 W University Dr
Suite 220
Rochester Hills, MI 48307-1871
Mailing address
1135 W University Dr
Suite 220
Rochester Hills, MI 48307-1871
Phone (248) 651-1155
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Rochester Hills, MI
- NPI 1609735745
-
- Internal Medicine Physician
- Rochester Hills, MI
- NPI 1144290446
-
- Internal Medicine Physician
- Washington, MI
- NPI 1215932892
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202428800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1350000000000",
"number": "1447438759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1135 W UNIVERSITY DR",
"address_2": "SUITE 220",
"city": "ROCHESTER HILLS",
"state": "MI",
"postal_code": "483071871",
"telephone_number": "248-651-1155",
"fax_number": "248-651-8537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1135 W UNIVERSITY DR",
"address_2": "SUITE 220",
"city": "ROCHESTER HILLS",
"state": "MI",
"postal_code": "483071871",
"telephone_number": "248-651-1155",
"fax_number": "248-651-8537"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YOUR PHYSICIANS P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-08",
"last_updated": "2012-10-12",
"status": "A",
"authorized_official_last_name": "SHORT",
"authorized_official_first_name": "KATIE",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "248-651-1155"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301074932",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rochester Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.