North Medical Clinic P C

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

5601005669 Issued in MI

Legal business name

NORTH MEDICAL CLINIC P C

Practice address

20041 W 8 Mile Rd
Detroit, MI 48219-1438

Phone

(313) 532-5030

Fax

(313) 532-0552

NPI assigned

Nov 5, 2012

Last updated

Nov 5, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Anwar Elkhatib, MD

Title

President

Phone

(313) 415-1989

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1352073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352073600000",
    "number": "1518211168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20041 W 8 MILE RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482191438",
            "telephone_number": "313-532-5030",
            "fax_number": "313-532-0552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20041 W 8 MILE RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482191438",
            "telephone_number": "313-532-5030",
            "fax_number": "313-532-0552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH MEDICAL CLINIC P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-05",
        "last_updated": "2012-11-05",
        "status": "A",
        "authorized_official_last_name": "ELKHATIB",
        "authorized_official_first_name": "ANWAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-415-1989",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5601005669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurie Ann Norris, PT,DPT,MTC
• Lisa Lynn Norris, FNP
• Wanda Novel Norris, MD
• North Clinic, P.C. (Peter H. Gaggos, D.O.)
• North East Guidance Center
• Jeanette Eileen North, LLPC
• Wayne Trevor, J North, MD
• Northeast Guidance Center
• Northeast Guidance Center
• Northeast Guidance Center

• Family Medicine Physician in Detroit, MI
• Providers in Detroit, 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 Nov 5, 2012; 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.