Pacific Health, P.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301070709 Issued in MI

Legal business name

PACIFIC HEALTH, P.C.

Practice address

649 E 12 Mile Rd
Madison Heights, MI 48071-2568

Phone

(248) 584-5590

Fax

(248) 584-5591

NPI assigned

Aug 20, 2006

Last updated

Jan 31, 2013By 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. Benjamin NguyenNPI 1710974951

Title

Medical Director

Phone

(248) 584-5590

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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.

• Benjamin Nguyen, M.D.

  • Family Medicine Physician
  • Madison Heights, MI
  • NPI 1710974951
  Authorized official Same address or phone

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359590400000",
    "number": "1629183546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "649 E 12 MILE RD",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480712568",
            "telephone_number": "248-584-5590",
            "fax_number": "248-584-5591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "649 E 12 MILE RD",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480712568",
            "telephone_number": "248-584-5590",
            "fax_number": "248-584-5591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC HEALTH, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2013-01-31",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "248-584-5590",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301070709",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4257639",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Colin David Orrin, DO
• Osman Spine Clinic LLC
• Otto Bock Patient Care LLC
• Roderick Edward Owens
• Terrence Michael Ozog
• Alexandria Marie Palazzolo
• Michael Dann Panlasigue, PT
• Pam Parker
• Jillian Parnos, LPC, CAADC
• Maria Parsons, FNP-C

• Family Medicine Physician in Madison Heights, MI
• Providers in Madison Heights, 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 Jan 31, 2013; 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.