Junction Clinic Health Center PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

JUNCTION CLINIC HEALTH CENTER PLLC

Practice address

4771 Michigan Ave
Detroit, MI 48210-3247

Phone

(313) 897-2600

Fax

(313) 897-2424

NPI assigned

Sep 16, 2022

Last updated

Sep 16, 2022By 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

Viswanathan Venkataswamy

Title

Member

Phone

(734) 274-0847

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ratnavalli Pasupulati, MD

  • Internal Medicine Physician
  • Macomb, MI
  • NPI 1831394873
  Medicare reassignment Care Compare group NPD
• Sailaja Peddireddy, MD

  • Internal Medicine Physician
  • Southfield, MI
  • NPI 1225215569
  Medicare reassignment Care Compare group NPD
• Tony Michael Abood, D.O.

  • Family Medicine Physician
  • Eastpointe, MI
  • NPI 1194165829
  Medicare reassignment NPD

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

{
    "created_epoch": "1663286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663286400000",
    "number": "1720700602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4771 MICHIGAN AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482103247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4771 MICHIGAN AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482103247",
            "telephone_number": "313-897-2600",
            "fax_number": "313-897-2424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUNCTION CLINIC HEALTH CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-16",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-16",
        "status": "A",
        "authorized_official_last_name": "VENKATASWAMY",
        "authorized_official_first_name": "VISWANATHAN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "734-274-0847"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dolrudee Jumlongras, DDS
• Nicole Jumper
• Steve Jun, MA
• Gjergj George Juncaj, NP
• Junction Clinic
• Aarti Juneja, ANP
• Ganeem Kuar Juneja, M.D.
• Mary Diane Junglas, PH.D, LMSW, CAAC
• Alexis Junior
• Jamie D Junior, CCHW, CPM, SST

• 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 Sep 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.