Organization Active NPI

Dr. Wasfeh Musheinesh, P.C.

  • Family Medicine Physician
  • Detroit, MI
National Provider Identifier
1659986164
Registry record updated Sep 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
DR. WASFEH MUSHEINESH, P.C.
Practice address
5831 W Vernor Hwy
Detroit, MI 48209-2159
Phone
(313) 409-1441
NPI assigned
Sep 11, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2020

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

Authorized official

Name
Wasfeh Musheinesh, M.D.
Title
President/Health Care Provider
Phone
(313) 409-1441

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X

Addresses

Primary practice location

5831 W Vernor Hwy
Detroit, MI 48209-2159

Mailing address

5831 W Vernor Hwy
Detroit, MI 48209-2159
Phone (313) 409-1441

Other names 1

  • Vernor Family Care Medical Center Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D0369904Family Care Medical Center5831 W Vernor, Detroit, MI 48209Certificate of waiverMay 2, 2028

National Provider Directory

National Provider Directory
Tax ID family
Dr Wasfeh Musheinesh PC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

5831 W Vernor Hwy
Detroit, MI 48209
Phone (313) 409-1441

NPI Registry JSON

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

{
    "created_epoch": "1599782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599782400000",
    "number": "1659986164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5831 W VERNOR HWY",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482092159",
            "telephone_number": "313-409-1441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5831 W VERNOR HWY",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482092159",
            "telephone_number": "313-409-1441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. WASFEH MUSHEINESH, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-11",
        "last_updated": "2020-09-11",
        "certification_date": "2020-09-11",
        "status": "A",
        "authorized_official_last_name": "MUSHEINESH",
        "authorized_official_first_name": "WASFEH",
        "authorized_official_title_or_position": "PRESIDENT/HEALTH CARE PROVIDER",
        "authorized_official_telephone_number": "313-409-1441",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vernor Family Care Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.