Won Medical Group PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

WON MEDICAL GROUP PC

Doing business as

Central Family Clinic

Practice address

29877 Telegraph Rd Ste 107
Southfield, MI 48034-7658

Phone

(248) 905-3981

Fax

(248) 595-7999

NPI assigned

Jan 4, 2022

Last updated

Aug 5, 2022By 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

Wonho Gil, MDNPI 1851897847

Title

President

Phone

(248) 905-3981

Specialties & licenses 1

Addresses

Other names 1

• CENTRAL FAMILY CLINIC Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 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.

• Wonho Gil, MD

  • Family Medicine Physician
  • Southfield, MI
  • NPI 1851897847
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1641254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659657600000",
    "number": "1659032449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1713 CHATHAM DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480841482",
            "telephone_number": "915-267-9186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29877 TELEGRAPH RD STE 107",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480347658",
            "telephone_number": "248-905-3981",
            "fax_number": "248-595-7999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WON MEDICAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-04",
        "last_updated": "2022-08-05",
        "certification_date": "2022-07-09",
        "status": "A",
        "authorized_official_last_name": "GIL",
        "authorized_official_first_name": "WONHO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-905-3981",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CENTRAL FAMILY CLINIC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CENTRAL FAMILY CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kelly Lynn Wolowiec
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• Sally Womack
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• Grace Wong, LLMSW
• Madilyn L Wood
• Malissa Wood
• Laine Woodard, PA-C
• Christina Woodbeck, RN

• Family Medicine Physician in Southfield, MI
• Providers in Southfield, 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 Aug 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.