NPIMap

Organization Active NPI

Livernois Clinic, P.C.

  • Internal Medicine Physician
  • Livonia, MI
National Provider Identifier
1689875726
Registry record updated Nov 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
SS0269894 Issued in MI
Legal business name
LIVERNOIS CLINIC, P.C.
Practice address
17330 Farmington Rd
Livonia, MI 48152-3158
Phone
(734) 425-2626
NPI assigned
May 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2010

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

Authorized official

Name
Sion Soleymani, M D
Title
President
Phone
(313) 838-7900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X SS0269894 MI Primary

Addresses

Primary practice location

17330 Farmington Rd
Livonia, MI 48152-3158

Mailing address

17330 Farmington Rd
Livonia, MI 48152-3158
Phone (734) 425-2626

Other identifiers 1

IdentifierTypeStateIssuer
1280750MedicaidMI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289260800000",
    "number": "1689875726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17330 FARMINGTON RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481523158",
            "telephone_number": "734-425-2626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17330 FARMINGTON RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481523158",
            "telephone_number": "734-425-2626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVERNOIS CLINIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2010-11-09",
        "status": "A",
        "authorized_official_last_name": "SOLEYMANI",
        "authorized_official_first_name": "SION",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-838-7900",
        "authorized_official_credential": "M D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "SS0269894",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1280750",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.