NPIMap

Organization Active NPI

Prime Garden City Medical Group

Doing business as Center for Family Medicine

  • Family Medicine Physician
  • Garden City, MI
National Provider Identifier
1508072729
Registry record updated Apr 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PRIME GARDEN CITY MEDICAL GROUP
Doing business as
Center for Family Medicine
Practice address
30730 Ford Road
Garden City, MI 48135
Phone
(734) 421-7474
Fax
(734) 421-0961
NPI assigned
May 15, 2007
Last updated
Apr 12, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
PRIME GARDEN CITY MEDICAL GROUPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 12, 2017

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

Authorized official

Name
Mr. John F Magnuson
Title
Practice Administrator
Phone
(734) 458-4490

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

30730 Ford Road
Garden City, MI 48135

Mailing address

30730 Ford Road
Garden City, MI 48135
Phone (734) 421-7474

Other names 1

  • Center for Family Medicine Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Amerigard Diagnostic Ce9 organizations share this tax ID, including this one
Part of
Amerigard Diagnostic Ce

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

30730 Ford Rd
Garden City, MI 48135
Phone (734) 266-8800

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491955200000",
    "number": "1508072729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30730 FORD ROAD",
            "city": "GARDEN CITY",
            "state": "MI",
            "postal_code": "48135",
            "telephone_number": "734-421-7474",
            "fax_number": "734-421-0961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30730 FORD ROAD",
            "city": "GARDEN CITY",
            "state": "MI",
            "postal_code": "48135",
            "telephone_number": "734-421-7474",
            "fax_number": "734-421-0961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME GARDEN CITY MEDICAL GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRIME GARDEN CITY MEDICAL GROUP",
        "enumeration_date": "2007-05-15",
        "last_updated": "2017-04-12",
        "status": "A",
        "authorized_official_last_name": "MAGNUSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "734-458-4490",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Garden City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2017; 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.