Greenfield Medical Group PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301086669 Issued in MI

Legal business name

GREENFIELD MEDICAL GROUP PLLC

Practice address

6050 Greenfield Rd
Dearborn, MI 48126-6004

Phone

(248) 470-5363

NPI assigned

Jun 17, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Amal Abdul-Hussein, M.D

Title

Medical Director

Phone

(248) 470-5363

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1276732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276732800000",
    "number": "1619298221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6050 GREENFIELD RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481266004",
            "telephone_number": "248-470-5363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6050 GREENFIELD RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481266004",
            "telephone_number": "248-470-5363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENFIELD MEDICAL GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-17",
        "last_updated": "2010-06-17",
        "status": "A",
        "authorized_official_last_name": "ABDUL-HUSSEIN",
        "authorized_official_first_name": "AMAL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "248-470-5363",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301086669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mallori Estelle Green
• Miracle Ri'Anna Green
• Greenfield Health Pharmacy Inc
• Greenfield Medical Center
• Greenfield Medical Center of Dearborn, P.C.
• Susan Greenshields, PH.D.
• Greenwarren Family Clinic
• Phoenix Greenwood-Haller
• Cheryl Lynn Greer, LMSW
• Devin Greer

• Family Medicine Physician in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.