NPIMap

Organization Active NPI

Chelsea Village Family Medicine, P.C.

  • Family Medicine Physician
  • Chelsea, MI
National Provider Identifier
1487710240
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301077713 Issued in MI
Legal business name
CHELSEA VILLAGE FAMILY MEDICINE, P.C.
Practice address
1600 Commerce Park Dr
Suite 300
Chelsea, MI 48118-1620
Phone
(734) 475-3662
Fax
(734) 475-4232
NPI assigned
Dec 28, 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
Dr. Anthony Jungho Choe, M.D.NPI 1730253568
Title
President
Phone
(734) 475-3662

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 4301077713 MI Primary

Addresses

Primary practice location

1600 Commerce Park Dr
Suite 300
Chelsea, MI 48118-1620

Mailing address

1600 Commerce Park Dr
Suite 300
Chelsea, MI 48118-1620
Phone (734) 475-3662

National Provider Directory

National Provider Directory

Locations

1600 Commerce Park Dr
Ste 300
Chelsea, MI 48118
Phone (734) 433-0699

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487710240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 COMMERCE PARK DR",
            "address_2": "SUITE 300",
            "city": "CHELSEA",
            "state": "MI",
            "postal_code": "481181620",
            "telephone_number": "734-475-3662",
            "fax_number": "734-475-4232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 COMMERCE PARK DR",
            "address_2": "SUITE 300",
            "city": "CHELSEA",
            "state": "MI",
            "postal_code": "481181620",
            "telephone_number": "734-475-3662",
            "fax_number": "734-475-4232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHELSEA VILLAGE FAMILY MEDICINE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHOE",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "JUNGHO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-475-3662",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301077713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chelsea, 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.