DRS Gilmore Lacivita & Associates PC

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

DRS GILMORE LACIVITA & ASSOCIATES PC

Practice address

39525 W 14 Mile Rd
Ste 101
Novi, MI 48377

Phone

(248) 926-6673

Fax

(248) 926-6683

NPI assigned

Jan 2, 2007

Organization subpart

No

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

Authorized official

Name

Benn Gilmore

Title

President

Phone

(248) 926-6673

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191369600000",
    "number": "1538226337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39525 W 14 MILE RD",
            "address_2": "STE 101",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "48377",
            "telephone_number": "248-926-6673",
            "fax_number": "248-926-6683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39525 W 14 MILE RD",
            "address_2": "STE 101",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "48377",
            "telephone_number": "248-926-6673",
            "fax_number": "248-926-6683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS GILMORE LACIVITA & ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2007-10-03",
        "status": "A",
        "authorized_official_last_name": "GILMORE",
        "authorized_official_first_name": "BENN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-926-6673"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Otolaryngology Physician in Novi, MI
• Providers in Novi, MI by specialty
• Otolaryngology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2007; 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.