Organization Active NPI

Eudemia

  • Internal Medicine Physician
  • Livonia, MI
National Provider Identifier
1700429156
Registry record updated Oct 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
EUDEMIA
Practice address
29701 6 Mile Rd Ste 150a
Livonia, MI 48152-8604
Phone
(248) 476-6209
NPI assigned
Oct 17, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2019

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

Authorized official

Name
Diane Cannon
Title
Vice President
Phone
(248) 476-6209

Specialties & licenses 1

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

Addresses

Primary practice location

29701 6 Mile Rd Ste 150a
Livonia, MI 48152-8604

Mailing address

37292 Chelsea CT
Farmington Hills, MI 48331-2812
Phone (248) 707-0258

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1571270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571270400000",
    "number": "1700429156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37292 CHELSEA CT",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483312812",
            "telephone_number": "248-707-0258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29701 6 MILE RD STE 150A",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481528604",
            "telephone_number": "248-476-6209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUDEMIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-17",
        "last_updated": "2019-10-17",
        "status": "A",
        "authorized_official_last_name": "CANNON",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "248-476-6209"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 17, 2019; 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.