Wayne Group Systems, Inc.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

WAYNE GROUP SYSTEMS, INC.

Practice address

2074 S Wayne Rd
Westland, MI 48186-5428

Phone

(734) 722-8054

Fax

(734) 722-8419

NPI assigned

Oct 12, 2007

Organization subpart

No

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

Authorized official

Name

Neysis Montalvo

Title

President

Phone

(786) 343-5799

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1192147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200009600000",
    "number": "1720276942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2074 S WAYNE RD",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481865428",
            "telephone_number": "734-722-8054",
            "fax_number": "734-722-8419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2074 S WAYNE RD",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481865428",
            "telephone_number": "734-722-8054",
            "fax_number": "734-722-8419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNE GROUP SYSTEMS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-12",
        "last_updated": "2008-01-11",
        "status": "A",
        "authorized_official_last_name": "MONTALVO",
        "authorized_official_first_name": "NEYSIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-343-5799"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renee Samone Watson-Crosby, OTR
• Kathryn Watson, LLPC
• Shelly Watson, LLPC
• Tanya Watson
• Marguerite Wilhemina Way
• Wayne Medical Center PLLC
• Wayne Medical Center PLLC
• Wayne Pharmacy, LLC
• Candace Weaver, LMSW-C
• Karen Weaver, MD

• General Practice Physician in Westland, MI
• Providers in Westland, 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 Jan 11, 2008; 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.