Doctors Home Line PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

DOCTORS HOME LINE PLLC

Practice address

30500 Van Dyke Ave
Suite 203
Warren, MI 48093-2109

Phone

(248) 480-9066

Fax

(248) 480-9062

NPI assigned

Apr 3, 2018

Last updated

Apr 3, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mohmmed Yazeed Al-Shihabi, MDNPI 1679678353

Title

President

Phone

(517) 812-6336

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mohmmed Yazeed Al Shihabi, MD

  • Internal Medicine Physician
  • Dearborn, MI
  • NPI 1679678353
  Medicare reassignment Authorized official
• Celina Jo Comer, APRN-CNP

  • Family Nurse Practitioner
  • Traverse City, MI
  • NPI 1437400587
  Medicare reassignment
• Ogechi Nita Enyioko, FNP

  • Family Nurse Practitioner
  • Warren, MI
  • NPI 1285191254
  Medicare reassignment
• Lynette Guss, APRN-BC

  • Nurse Practitioner
  • Dearborn Heights, MI
  • NPI 1639247323
  Medicare reassignment
• Pauline Robinson

  • Family Nurse Practitioner
  • Detroit, MI
  • NPI 1447713177
  Medicare reassignment

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

{
    "created_epoch": "1522713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522713600000",
    "number": "1477059087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30500 VAN DYKE AVE STE 203",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480932109",
            "telephone_number": "248-480-9066",
            "fax_number": "248-480-9062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30500 VAN DYKE AVE",
            "address_2": "SUITE 203",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480932109",
            "telephone_number": "248-480-9066",
            "fax_number": "248-480-9062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTORS HOME LINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-03",
        "last_updated": "2018-04-03",
        "status": "A",
        "authorized_official_last_name": "AL-SHIHABI",
        "authorized_official_first_name": "MOHMMED",
        "authorized_official_middle_name": "YAZEED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "517-812-6336",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nicole Yvette Dobson, A.UD. CCC-A
• Amy Katherine Doepker, DPT
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• Madison Nicole Doll
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• Internal Medicine Physician in Warren, MI
• Providers in Warren, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2018; 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.

Verify at the official NPI Registry.