Preferred Visiting Physicians, PC

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

5601004396 Issued in MI

Legal business name

PREFERRED VISITING PHYSICIANS, PC

Practice address

36500 Ford Rd
Suite 178
Westland, MI 48185-3769

Phone

(734) 968-8682

Fax

(734) 727-0992

NPI assigned

Feb 16, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Rocelious Goodson III, PA-CNPI 1992863872

Title

Ceo

Phone

(734) 968-8682

Specialties & licenses 1

Addresses

Practitioners 3

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.

• Rocelious Goodson III, PA-C

  • Medical Physician Assistant
  • Dearborn, MI
  • NPI 1992863872
  NPD Authorized official
• Karen Lynette Boyd, DNP, NP-C

  • Adult Health Nurse Practitioner
  • Southfield, MI
  • NPI 1386642791
  NPD (past)
• Everett Bryant, MD

  • Family Medicine Physician
  • Dearborn, MI
  • NPI 1982750881
  NPD (past)

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

{
    "created_epoch": "1266278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266278400000",
    "number": "1649592817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36500 FORD RD",
            "address_2": "SUITE 178",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481853769",
            "telephone_number": "734-968-8682",
            "fax_number": "734-727-0992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36500 FORD RD",
            "address_2": "SUITE 178",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481853769",
            "telephone_number": "734-968-8682",
            "fax_number": "734-727-0992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREFERRED VISITING PHYSICIANS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-16",
        "last_updated": "2010-02-16",
        "status": "A",
        "authorized_official_last_name": "GOODSON",
        "authorized_official_first_name": "ROCELIOUS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "734-968-8682",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "5601004396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Powerback Rehabilitation LLC (Powerback Rehabilitation)
• Kelly M Powers, OT
• Mackenzie Prater
• Priscilla Pratt, L.P.C., C.R.C.
• Precious Sounds Inc.
• Premier Health Internal Medicine & Pediatrics, PLLC
• Premier Health Urgent Care PLLC
• Premier Urgent Care of Westland PC
• Presbyterian Village Westland (The Village of Westland)
• Prestige Behavioral Partial & Memory Care Center Inc

• Medical Physician Assistant in Westland, MI
• Providers in Westland, MI by specialty
• Medical Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.