Visiting MD, LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

VISITING MD, LLC

Practice address

15700 Providence Dr
Suite 400
Southfield, MI 48075-3144

Phone

(248) 233-0659

NPI assigned

Sep 14, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Gigi John

Title

Ceo/Owner

Phone

(248) 443-8044

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1347580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347840000000",
    "number": "1699025874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24777 GREENFIELD RD",
            "address_2": "SUITE 101C",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480753065",
            "telephone_number": "248-443-8044",
            "fax_number": "248-443-8033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15700 PROVIDENCE DR",
            "address_2": "SUITE 400",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480753144",
            "telephone_number": "248-233-0659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISITING MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-14",
        "last_updated": "2012-09-17",
        "status": "A",
        "authorized_official_last_name": "JOHN",
        "authorized_official_first_name": "GIGI",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "248-443-8044",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Southfield, MI
• Providers in Southfield, MI by specialty
• General Practice Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2012; 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.