Active NPI
G&M Management
- Ambulatory Surgical Clinic/Center
- Southfield, MI
National Provider Identifier
1467624379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- G&M MANAGEMENT
- Practice address
- 20240 W 12 Mile Rd
Southfield, MI 48076-2426 - Phone
- (248) 353-6880
- Fax
- (248) 353-6887
- NPI assigned
- Mar 31, 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
- Marcia Fosnaugh Avis, RN
- Title
- Clinic Director
- Phone
- (248) 353-6880
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | MI | Primary |
Addresses
Primary practice location
20240 W 12 Mile Rd
Southfield, MI 48076-2426
Mailing address
20240 W 12 Mile Rd
Southfield, MI 48076-2426
Phone (248) 353-6880
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206921600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1206921600000",
"number": "1467624379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20240 W 12 MILE RD",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480762426",
"telephone_number": "248-353-6880",
"fax_number": "248-353-6887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20240 W 12 MILE RD",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480762426",
"telephone_number": "248-353-6880",
"fax_number": "248-353-6887"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "G&M MANAGEMENT",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-31",
"last_updated": "2008-03-31",
"status": "A",
"authorized_official_last_name": "AVIS",
"authorized_official_first_name": "MARCIA",
"authorized_official_middle_name": "FOSNAUGH",
"authorized_official_title_or_position": "CLINIC DIRECTOR",
"authorized_official_telephone_number": "248-353-6880",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "MI",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southfield, MI
- Funderburg Clinical and Community Services (Funderburg CCS)
- Pauline Jones Furman, PHD, M.ED,MSW,LPC
- Rainna Marie Furnari-Brazil, D.O.
- Future Path Labortory Inc
- G & M Caring Home Health Service LLC
- G&R Case Management Services, LLC
- Julie Gabel
- Gabriel's Nest Inc
- Norman Renato M Gacias, PMHNP-BC
- Serena Gaddis
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.