Organization Active NPI

Citymedical Care PC

  • Clinic/Center
  • Detroit, MI
National Provider Identifier
1609192467
Registry record updated Apr 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
CITYMEDICAL CARE PC
Practice address
11190 Gratiot Ave
A1
Detroit, MI 48213-1334
Phone
(313) 245-9200
Fax
(313) 245-9200
NPI assigned
Apr 19, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2010

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

Authorized official

Name
Michael Nwoke, MD
Title
Ceo
Phone
(313) 245-9200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

11190 Gratiot Ave
A1
Detroit, MI 48213-1334

Mailing address

PO Box 806464
Saint Clair Shores, MI 48080-6464
Phone (313) 245-9200

National Provider Directory

National Provider Directory

Locations

11190 Gratiot Ave
#A1
Detroit, MI 48213
Phone (313) 245-9200

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1271635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271635200000",
    "number": "1609192467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 806464",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480806464",
            "telephone_number": "313-245-9200",
            "fax_number": "313-245-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11190 GRATIOT AVE",
            "address_2": "A1",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482131334",
            "telephone_number": "313-245-9200",
            "fax_number": "313-245-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITYMEDICAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-19",
        "last_updated": "2010-04-19",
        "status": "A",
        "authorized_official_last_name": "NWOKE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "313-245-9200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.