Organization Active NPI

Advance Primary Care

  • Family Medicine Physician
  • Ann Arbor, MI
National Provider Identifier
1477940294
Registry record updated Apr 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301088433 Issued in MI
Legal business name
ADVANCE PRIMARY CARE
Practice address
1000 E Stadium Blvd Ste E
Ann Arbor, MI 48104-4616
Phone
(734) 769-3333
Fax
(734) 769-6666
NPI assigned
Apr 20, 2015
Last updated
Apr 20, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2015

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

Authorized official

Name
Mr. Alaa Husseinali, MD
Title
Owner
Phone
(313) 485-4513

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 4301088433 MI Primary

Addresses

Primary practice location

1000 E Stadium Blvd Ste E
Ann Arbor, MI 48104-4616

Mailing address

1000 E Stadium Blvd Ste E
Ann Arbor, MI 48104-4616
Phone (734) 769-3333

National Provider Directory

National Provider Directory

Locations

1000 E Stadium Blvd
Ste E
Ann Arbor, MI 48104
Phone (734) 769-3333

5250 Auto Club Dr
Ste 2
Dearborn, MI 48126
Phone (313) 914-5591

5250 Auto Club Dr
Ste 210
Dearborn, MI 48126
Phone (313) 581-3888

NPI Registry JSON

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

{
    "created_epoch": "1429488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429488000000",
    "number": "1477940294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 E STADIUM BLVD STE E",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481044616",
            "telephone_number": "734-769-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E STADIUM BLVD STE E",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481044616",
            "telephone_number": "734-769-3333",
            "fax_number": "734-769-6666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE PRIMARY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-20",
        "last_updated": "2015-04-20",
        "status": "A",
        "authorized_official_last_name": "HUSSEINALI",
        "authorized_official_first_name": "ALAA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-485-4513",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301088433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2015; 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.