Organization Active NPI

Home Physicians Group PLLC

  • General Practice Physician
  • Royal Oak, MI
National Provider Identifier
1457685760
Registry record updated Oct 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
4301059159 Issued in MI
Legal business name
HOME PHYSICIANS GROUP PLLC
Practice address
632 Poplar Ave
Royal Oak, MI 48073-3240
Phone
(248) 890-0047
Fax
(248) 585-2334
NPI assigned
Sep 21, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2009

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

Authorized official

Name
Dr. Teodor Alexandru Daniliuc, M.D.
Title
Physician/Owner
Phone
(248) 585-9368

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X 4301059159 MI Primary

Addresses

Primary practice location

632 Poplar Ave
Royal Oak, MI 48073-3240

Mailing address

632 Poplar Ave
Royal Oak, MI 48073-3240
Phone (248) 585-9368

National Provider Directory

National Provider Directory

Locations

18481 W 10 Mile Rd
Ste 102
Southfield, MI 48075
Phone (248) 443-5000

NPI Registry JSON

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

{
    "created_epoch": "1253491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254873600000",
    "number": "1457685760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "632 POPLAR AVE",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480733240",
            "telephone_number": "248-585-9368",
            "fax_number": "248-585-2334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "632 POPLAR AVE",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480733240",
            "telephone_number": "248-890-0047",
            "fax_number": "248-585-2334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME PHYSICIANS GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-21",
        "last_updated": "2009-10-07",
        "status": "A",
        "authorized_official_last_name": "DANILIUC",
        "authorized_official_first_name": "TEODOR",
        "authorized_official_middle_name": "ALEXANDRU",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "248-585-9368",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "MI",
            "license": "4301059159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Oak, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.