Active NPI
Epmg Telemed PLLC
- General Practice Physician
- Ann Arbor, MI
National Provider Identifier
1508317728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- C090227
- Legal business name
- EPMG TELEMED PLLC
- Practice address
- 2000 Green Rd Ste 300
Ann Arbor, MI 48105-1575 - Phone
- (269) 983-8300
- NPI assigned
- Oct 24, 2016
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Karen Vaughn
- Title
- Officer
- Phone
- (404) 450-4684
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Emergency Medicine Physician
- Livonia, MI
- NPI 1386688992
NPD member Member Of
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Emergency Medicine Physician
- Macungie, PA
- NPI 1497774806
National Provider Directory
National Provider DirectorySpecialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | C090227 | WI | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
2000 Green Rd Ste 300
Ann Arbor, MI 48105-1575
Mailing address
PO Box 80321
Philadelphia, PA 19101-1321
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 29, 2023.
{
"created_epoch": "1477267200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1695945600000",
"number": "1508317728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 80321",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191011321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 GREEN RD STE 300",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481051575",
"telephone_number": "269-983-8300"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EPMG TELEMED PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-10-24",
"last_updated": "2023-09-29",
"certification_date": "2023-09-29",
"status": "A",
"authorized_official_last_name": "VAUGHN",
"authorized_official_first_name": "KAREN",
"authorized_official_title_or_position": "OFFICER",
"authorized_official_telephone_number": "404-450-4684"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "General Practice",
"state": "WI",
"license": "C090227",
"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 Sep 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.