Organization Active NPI

Rochester Hills Health Services P.L.L.C.

  • Family Medicine Physician
  • Rochester Hills, MI
National Provider Identifier
1467566091
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101014745 Issued in MI
Legal business name
ROCHESTER HILLS HEALTH SERVICES P.L.L.C.
Practice address
2840 Crooks Rd
100
Rochester Hills, MI 48309-3619
Phone
(248) 852-9290
Fax
(248) 852-0305
NPI assigned
Aug 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. David William Cervone
Title
Clinical Manager
Phone
(248) 852-9290

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 5101014745 MI Primary

Addresses

Primary practice location

2840 Crooks Rd
100
Rochester Hills, MI 48309-3619

Mailing address

2840 Crooks Rd
100
Rochester Hills, MI 48309-3619
Phone (248) 852-9290

National Provider Directory

National Provider Directory

Locations

2840 Crooks Rd
Ste 100
Rochester Hills, MI 48309
Phone (248) 844-8890

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467566091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2840 CROOKS RD",
            "address_2": "100",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483093619",
            "telephone_number": "248-852-9290",
            "fax_number": "248-852-0305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2840 CROOKS RD",
            "address_2": "100",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483093619",
            "telephone_number": "248-852-9290",
            "fax_number": "248-852-0305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCHESTER HILLS HEALTH SERVICES P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CERVONE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "CLINICAL MANAGER",
        "authorized_official_telephone_number": "248-852-9290",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101014745",
            "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 Aug 22, 2020; 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.