NPIMap

Organization Active NPI

Infinity Primary Care PLLC

Doing business as Vital Internal Medicine

  • Internal Medicine Physician
  • Livonia, MI
National Provider Identifier
1629307715
Registry record updated Mar 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
INFINITY PRIMARY CARE PLLC
Doing business as
Vital Internal Medicine
Practice address
37669 Pembroke Ave
Livonia, MI 48152-1050
Phone
(734) 853-4901
NPI assigned
Dec 18, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2011

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

Authorized official

Name
Kevin G Deighton, MD
Title
President
Phone
(734) 432-7581

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

37669 Pembroke Ave
Livonia, MI 48152-1050

Mailing address

17197 N Laurel Park Dr
Suite 540
Livonia, MI 48152-2680
Phone (734) 853-4901

Other names 1

  • Vital Internal Medicine Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Infinity Primary Care LLC11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations

37669 Pembroke Ave
Livonia, MI 48152
Phone (734) 464-0400

NPI Registry JSON

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

{
    "created_epoch": "1261094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301011200000",
    "number": "1629307715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17197 N LAUREL PARK DR",
            "address_2": "SUITE 540",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481522680",
            "telephone_number": "734-853-4901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37669 PEMBROKE AVE",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481521050",
            "telephone_number": "734-853-4901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFINITY PRIMARY CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-18",
        "last_updated": "2011-03-25",
        "status": "A",
        "authorized_official_last_name": "DEIGHTON",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-432-7581",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vital Internal Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2011; 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.