Organization Active NPI

Personalized Medical Care Assoc P C

  • Clinic/Center
  • Novi, MI
National Provider Identifier
1467759928
Registry record updated Jan 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
4301090829 Issued in MI
Legal business name
PERSONALIZED MEDICAL CARE ASSOC P C
Practice address
21580 Novi Rd
Ste 200
Novi, MI 48375-5600
Phone
(248) 946-4905
Fax
(888) 502-9335
NPI assigned
Feb 18, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2012

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

Authorized official

Name
Victoria Dooley, M.D.
Title
President
Phone
(248) 946-4905

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 4301090829 MI Primary

Addresses

Primary practice location

21580 Novi Rd
Ste 200
Novi, MI 48375-5600

Mailing address

21580 Novi Rd
Suite 200
Novi, MI 48375-5600
Phone (248) 946-4905

National Provider Directory

National Provider Directory

Locations

21580 Novi Rd
Ste 200
Novi, MI 48375
Phone (248) 325-6025

NPI Registry JSON

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

{
    "created_epoch": "1297987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326153600000",
    "number": "1467759928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21580 NOVI RD",
            "address_2": "SUITE 200",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483755600",
            "telephone_number": "248-946-4905",
            "fax_number": "888-502-9335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21580 NOVI RD",
            "address_2": "STE 200",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483755600",
            "telephone_number": "248-946-4905",
            "fax_number": "888-502-9335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONALIZED MEDICAL CARE ASSOC P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-18",
        "last_updated": "2012-01-10",
        "status": "A",
        "authorized_official_last_name": "DOOLEY",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-946-4905",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MI",
            "license": "4301090829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2012; 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.