Downriver Family Physicians PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

DOWNRIVER FAMILY PHYSICIANS PC

Practice address

25880 Outer Dr
Lincoln Park, MI 48146-1553

Phone

(313) 294-9410

NPI assigned

Jul 25, 2011

Organization subpart

No

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

Authorized official

Name

Kirti Jain, MDNPI 1316926165

Title

Owner

Phone

(313) 294-9410

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 1

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

• Kirti Jain, MD

  • Family Medicine Physician
  • Allen Park, MI
  • NPI 1316926165
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1311552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311552000000",
    "number": "1508144601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25880 OUTER DR",
            "city": "LINCOLN PARK",
            "state": "MI",
            "postal_code": "481461553",
            "telephone_number": "313-294-9410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25880 OUTER DR",
            "city": "LINCOLN PARK",
            "state": "MI",
            "postal_code": "481461553",
            "telephone_number": "313-294-9410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOWNRIVER FAMILY PHYSICIANS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-25",
        "last_updated": "2011-07-25",
        "status": "A",
        "authorized_official_last_name": "JAIN",
        "authorized_official_first_name": "KIRTI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-294-9410",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael R Dillard
• William Joseph Doherty, DDS
• Stephanie Lee Dorris
• Downriver Dental Associates P.C.
• Downriver Drugs
• Downriver Wellness Group
• Dr. D. M. Elem PC
• Stefanie L Drumm
• Ketan Dudhara, R PH.
• Shanita Denise Eccles

• Family Medicine Physician in Lincoln Park, MI
• Providers in Lincoln Park, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2011; 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.