OB & GYN Associate Physicians, P.C.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

4301081848 Issued in MI

Legal business name

OB & GYN ASSOCIATE PHYSICIANS, P.C.

Practice address

2520 S. Telegraph Rd
Suite 200
Bloomfield Hills, MI 48302-0302

Phone

(248) 335-9207

Fax

(248) 335-2394

NPI assigned

Jun 22, 2009

Last updated

Jun 22, 2009By 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

Telesforo E Garcia, M.D.

Title

President

Phone

(248) 335-9207

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1245628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245628800000",
    "number": "1548497167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 S. TELEGRAPH RD",
            "address_2": "SUITE 200",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483020302",
            "telephone_number": "248-335-9207",
            "fax_number": "248-335-2394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 S. TELEGRAPH RD",
            "address_2": "SUITE 200",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483020302",
            "telephone_number": "248-335-9207",
            "fax_number": "248-335-2394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OB & GYN ASSOCIATE PHYSICIANS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-22",
        "last_updated": "2009-06-22",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "TELESFORO",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-335-9207",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MI",
            "license": "4301081848",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1336357219",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1336357219",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Otolaryngology Physician in Bloomfield Hills, MI
• Providers in Bloomfield Hills, MI by specialty
• Otolaryngology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2009; 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.