Dr Blake Movitz PLLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

DR BLAKE MOVITZ PLLC

Doing business as

Detroit Weight Loss Center

Practice address

22401 Foster Winter Dr
Medical Clinic
Southfield, MI 48075-3724

Phone

(313) 889-3456

Fax

(313) 429-1021

NPI assigned

Apr 23, 2021

Last updated

Jul 30, 2024By 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

Dr. Blake Ryan Movitz, MDNPI 1134548696

Title

Physician

Phone

(248) 821-1304

Specialties & licenses 1

Addresses

Other names 1

• DETROIT WEIGHT LOSS CENTER Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Blake Ryan Movitz, M.D.

  • Surgery Physician
  • Southfield, MI
  • NPI 1134548696
  Medicare reassignment NPD Authorized official
• Benjamin Charles Mayo, M.D.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Sterling Heights, MI
  • NPI 1245761352
  NPD (past)

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

{
    "created_epoch": "1619136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722297600000",
    "number": "1568044139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43422 W OAKS DR STE 301",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483773300",
            "telephone_number": "313-889-3456",
            "fax_number": "313-429-1021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22401 FOSTER WINTER DR",
            "address_2": "MEDICAL CLINIC",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480753724",
            "telephone_number": "313-889-3456",
            "fax_number": "313-429-1021"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 William Carls Dr Ste 270",
            "address_purpose": "LOCATION",
            "city": "Commerce Township",
            "state": "MI",
            "postal_code": "483822201",
            "country_code": "US",
            "telephone_number": "313-889-3456",
            "fax_number": "313-429-1021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DR BLAKE MOVITZ PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-23",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A",
        "authorized_official_last_name": "MOVITZ",
        "authorized_official_first_name": "BLAKE",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "248-821-1304",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DETROIT WEIGHT LOSS CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Faith S Doyle, LPC
• Sharon E Dozier, CRNA
• DP Resources
• DPN-Mi PC
• DPT Holdings LLC (Doctors of Physical Therapy)
• Dr L Reynolds Assoc PC
• Dr Stephen Gork, D.D.S., P.C.
• Dr Ursula Barghouth DO Mha MSPH CWSP
• Dr. Aretha D Hood DDS PLC (Paradise Dental Center)
• Dr. Jesse C. Krakauer PLLC

• Surgery Physician in Southfield, MI
• Providers in Southfield, MI by specialty
• Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; 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.