Organization Active NPI

Gary F Koloff MD PC

  • Neurology Physician
  • Farmington Hills, MI
National Provider Identifier
1578866620
Registry record updated Dec 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
GK048556 Issued in MI
Legal business name
GARY F KOLOFF MD PC
Practice address
28423 Orchard Lake Rd Ste 212
Farmington Hills, MI 48334-2971
Phone
(248) 553-2434
Fax
(734) 240-8557
NPI assigned
Dec 13, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2010

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

Authorized official

Name
Dr. Gary F Koloff, MD
Title
MD
Phone
(248) 553-2434

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X GK048556 MI Primary

Addresses

Primary practice location

28423 Orchard Lake Rd Ste 212
Farmington Hills, MI 48334-2971

Mailing address

28423 Orchard Lake Rd Ste 212
Farmington Hills, MI 48334-2971
Phone (248) 553-2434

National Provider Directory

National Provider Directory

Locations

730 N Macomb St
Ste 235
Monroe, MI 48162
Phone (734) 242-3140

NPI Registry JSON

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

{
    "created_epoch": "1292198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292198400000",
    "number": "1578866620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28423 ORCHARD LAKE RD STE 212",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483342971",
            "telephone_number": "248-553-2434",
            "fax_number": "734-240-8557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28423 ORCHARD LAKE RD STE 212",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483342971",
            "telephone_number": "248-553-2434",
            "fax_number": "734-240-8557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY F KOLOFF MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-13",
        "last_updated": "2010-12-13",
        "status": "A",
        "authorized_official_last_name": "KOLOFF",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "248-553-2434",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MI",
            "license": "GK048556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2010; 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.