Northside Medical Clinic Management Company

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

NORTHSIDE MEDICAL CLINIC MANAGEMENT COMPANY

Practice address

14001 Greenfield Rd
Detroit, MI 48227-2101

Phone

(313) 273-1200

Fax

(313) 273-8130

NPI assigned

Jan 30, 2006

Organization subpart

No

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

Authorized official

Name

Jerome Frankel, D.O.

Title

President

Phone

(313) 273-1200

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kevin Frankel, DO

  • Family Medicine Physician
  • Detroit, MI
  • NPI 1730159294
  NPD (past)

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261094400000",
    "number": "1720059660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14001 GREENFIELD RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482272101",
            "telephone_number": "313-273-1200",
            "fax_number": "313-273-8130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14001 GREENFIELD RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482272101",
            "telephone_number": "313-273-1200",
            "fax_number": "313-273-8130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSIDE MEDICAL CLINIC MANAGEMENT COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-30",
        "last_updated": "2009-12-18",
        "status": "A",
        "authorized_official_last_name": "FRANKEL",
        "authorized_official_first_name": "JEROME",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-273-1200",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Detroit, MI
• Providers in Detroit, 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 Dec 18, 2009; 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.