Organization Active NPI

Prechel Family Clinic, PC

  • Family Medicine Physician
  • Detroit, MI
National Provider Identifier
1487814158
Registry record updated Dec 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
WP5101006899 Issued in MI
Legal business name
PRECHEL FAMILY CLINIC, PC
Practice address
16551 W Warren Ave
Detroit, MI 48228-3706
Phone
(313) 584-3624
Fax
(313) 584-8060
NPI assigned
Jun 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2013

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

Authorized official

Name
Dr. Willim P Prechel, D.O.
Title
Owner
Phone
(313) 584-3624

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X WP5101006899 MI Primary

Addresses

Primary practice location

16551 W Warren Ave
Detroit, MI 48228-3706

Mailing address

16551 W Warren Ave
Detroit, MI 48228-3706
Phone (313) 584-3624

Other identifiers 3

IdentifierTypeStateIssuer
1294700MedicaidMI
E26901OtherMIUPIN
0858210715OtherMIBLUE CROSS BLUE SHIELD OF MICHIGAN

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1213574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387756800000",
    "number": "1487814158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16551 W WARREN AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482283706",
            "telephone_number": "313-584-3624",
            "fax_number": "313-584-8060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16551 W WARREN AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482283706",
            "telephone_number": "313-584-3624",
            "fax_number": "313-584-8060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECHEL FAMILY CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-16",
        "last_updated": "2013-12-23",
        "status": "A",
        "authorized_official_last_name": "PRECHEL",
        "authorized_official_first_name": "WILLIM",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-584-3624",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "WP5101006899",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1294700",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "E26901",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF MICHIGAN",
            "identifier": "0858210715",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2013; 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.