Maxcare Medical Group PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301092482 Issued in MI

Legal business name

MAXCARE MEDICAL GROUP PC

Practice address

9222 Joseph Campau St
Suite C
Hamtramck, MI 48212-4059

Phone

(313) 657-8400

NPI assigned

Mar 18, 2016

Last updated

Mar 18, 2016By 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

Samer I Homisha, M.D.

Title

Owner

Phone

(313) 657-8400

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1458259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458259200000",
    "number": "1700247715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9222 JOSEPH CAMPAU ST",
            "address_2": "SUITE C",
            "city": "HAMTRAMCK",
            "state": "MI",
            "postal_code": "482124059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9222 JOSEPH CAMPAU ST",
            "address_2": "SUITE C",
            "city": "HAMTRAMCK",
            "state": "MI",
            "postal_code": "482124059",
            "telephone_number": "313-657-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXCARE MEDICAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-18",
        "last_updated": "2016-03-18",
        "status": "A",
        "authorized_official_last_name": "HOMISHA",
        "authorized_official_first_name": "SAMER",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-657-8400",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301092482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Hamtramck, MI
• Providers in Hamtramck, 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 Mar 18, 2016; 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.