Warren Family Practice, PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301108617 Issued in MI

Legal business name

WARREN FAMILY PRACTICE, PLLC

Practice address

26000 Hoover Rd Ste 105
Warren, MI 48089-1167

Phone

(586) 722-0998

Fax

(586) 806-5347

NPI assigned

Jun 24, 2018

Last updated

Jun 24, 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. Norman Salem, MD

Title

Physican/Owner

Phone

(248) 904-7229

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1529798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529798400000",
    "number": "1689169542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26000 HOOVER RD STE 105",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480891167",
            "telephone_number": "586-722-0998",
            "fax_number": "586-806-5347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26000 HOOVER RD STE 105",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480891167",
            "telephone_number": "586-722-0998",
            "fax_number": "586-806-5347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARREN FAMILY PRACTICE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-24",
        "last_updated": "2018-06-24",
        "status": "A",
        "authorized_official_last_name": "SALEM",
        "authorized_official_first_name": "NORMAN",
        "authorized_official_title_or_position": "PHYSICAN/OWNER",
        "authorized_official_telephone_number": "248-904-7229",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301108617",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013270362",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Warren City Pharmacy LLC
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• Warren Family Medical Center PLLC
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• Warren Gastroenterology PC
• Warren Geriatric Village, Inc (bortz health care of warren)
• Warren Group Dental Associates PLLC
• Warren Laser Dentistry
• Warren Medical Pharmacy LLC (Pharmor Pharmacy Warren)

• Family Medicine Physician in Warren, MI
• Providers in Warren, 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 Jun 24, 2018; 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.