Select Medical Group of Michigan PLLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

SELECT MEDICAL GROUP OF MICHIGAN PLLC

Practice address

23350 Greenfield Rd Ste 200
Oak Park, MI 48237-2496

Phone

(248) 307-7781

Fax

(248) 302-7782

NPI assigned

Jun 10, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Edrick J Ferguson, M.D.

Title

Manager

Phone

(248) 307-7781

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1560124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560124800000",
    "number": "1609435056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23350 GREENFIELD RD STE 200",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482372496",
            "telephone_number": "248-307-7781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23350 GREENFIELD RD STE 200",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482372496",
            "telephone_number": "248-307-7781",
            "fax_number": "248-302-7782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELECT MEDICAL GROUP OF MICHIGAN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-10",
        "last_updated": "2019-06-10",
        "status": "A",
        "authorized_official_last_name": "FERGUSON",
        "authorized_official_first_name": "EDRICK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "248-307-7781",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elisheva Sassler
• Jihan Sayed, PHYSICIAN ASSISTANT
• Mayer Schneider
• Eva Taub Schwartz, DDS
• Select Comfort Home Healthcare Service
• Selective Medical of Michigan PLLC
• Jessica Marie Sellers
• Shah Medical Equipment, Inc.
• Karnik Shah
• Nirad Shah, PT

• General Practice Physician in Oak Park, MI
• Providers in Oak Park, MI by specialty
• General Practice Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2019; 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.