MMG 1PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MMG 1PC

Doing business as

Premier Internists

Practice address

29201 Telegraph Rd
Suite 404
Southfield, MI 48034-1331

Phone

(248) 355-0880

Fax

(248) 355-9232

NPI assigned

Aug 14, 2006

Last updated

Sep 20, 2018By 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. Geoffrey A Trivax, M.D.NPI 1164407730

Title

President

Phone

(248) 354-9666

Specialties & licenses 1

Addresses

Other names 1

• PREMIER INTERNISTS Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Other NPIs on the same Medicare enrollment 9

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• MMG 1 PC

  • Nurse Practitioner
  • Southfield, MI
  • NPI 1023037025

  O20031104000106

  Same enrollment
• MMG 1 PC

  dba Internal Medicine Specialists

  • Internal Medicine Physician
  • West Bloomfield, MI
  • NPI 1023043486

  O20031104000106

  Same enrollment
• MMG 1 PC

  dba Millenium Diagnostic Center

  • Internal Medicine Physician
  • Farmington Hills, MI
  • NPI 1912933540

  O20031104000106

  Same enrollment
• MMG 1 PC

  dba Internal Medicine Physicians

  • Internal Medicine Physician
  • Farmington Hills, MI
  • NPI 1982639357

  O20031104000106

  Same enrollment
• MMG 1PC

  dba Comprehensive Internists

  • Internal Medicine Physician
  • West Bloomfield, MI
  • NPI 1073548442

  O20031104000106

  Same enrollment
• MMG 1PC

  dba Internal Medicine Plus

  • Internal Medicine Physician
  • Bingham Farms, MI
  • NPI 1154356517

  O20031104000106

  Same enrollment
• MMG 1PC

  • Family Medicine Physician
  • West Bloomfield, MI
  • NPI 1205855186

  O20031104000106

  Same enrollment
• MMG 1PC

  • Internal Medicine Physician
  • Bingham Farms, MI
  • NPI 1225063688

  O20031104000106

  Same enrollment
• MMG 1PC

  dba Associated Rheumatology Consultants

  • Rheumatology Physician
  • Southfield, MI
  • NPI 1629184049

  O20031104000106

  Same enrollment

Locations

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.

• Geoffrey Trivax, M.D.

  • Internal Medicine Physician
  • Southfield, MI
  • NPI 1164407730
  Authorized official Same address or phone

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537401600000",
    "number": "1679586192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29992 NORTHWESTERN HWY STE C",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343292",
            "telephone_number": "248-851-1430",
            "fax_number": "248-851-5182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29201 TELEGRAPH RD",
            "address_2": "SUITE 404",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341331",
            "telephone_number": "248-355-0880",
            "fax_number": "248-355-9232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MMG 1PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2018-09-20",
        "status": "A",
        "authorized_official_last_name": "TRIVAX",
        "authorized_official_first_name": "GEOFFREY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-354-9666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PREMIER INTERNISTS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PREMIER INTERNISTS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• MMG 1 PC
• MMG 1PC (Neurological Consultants)
• MMG 1PC
• MMG 1PC (Northwest Internal Medicine)
• MMG 1PC (Associated Rheumatology Consultants)
• MMG 1PC (Millenniun Physical Therapy Center)
• MMS Care PLLC (Mobile Medical Support)
• Mna Lab, LLC
• Mobil Visiting Professional, Inc.
• Mobile MRI Staffing,LLC

• Internal Medicine Physician in Southfield, MI
• Providers in Southfield, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2018; 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.