NPIMap

Organization Active NPI

Infinity Primary Care, PLLC

Doing business as Associates in Internal Medicine

  • Internal Medicine Physician
  • West Bloomfield, MI
National Provider Identifier
1730304965
Registry record updated Aug 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
INFINITY PRIMARY CARE, PLLC
Doing business as
Associates in Internal Medicine
Practice address
5777 W Maple Rd
Suite 140
West Bloomfield, MI 48322-2267
Phone
(248) 406-1000
Fax
(248) 406-1001
NPI assigned
Apr 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2011

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

Authorized official

Name
Kevin G Deighton, MD
Title
President
Phone
(734) 432-7581

Specialties & licenses 1

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

Addresses

Primary practice location

5777 W Maple Rd
Suite 140
West Bloomfield, MI 48322-2267

Mailing address

17197 N Laurel Park Dr
Suite 540
Livonia, MI 48152-2680
Phone (734) 853-4901

Other identifiers 1

IdentifierTypeStateIssuer
110F323720OtherMIBCBSM

Other names 1

  • Associates in Internal Medicine Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Infinity Primary Care LLC11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1176508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312502400000",
    "number": "1730304965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17197 N LAUREL PARK DR",
            "address_2": "SUITE 540",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481522680",
            "telephone_number": "734-853-4901",
            "fax_number": "734-853-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5777 W MAPLE RD",
            "address_2": "SUITE 140",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483222267",
            "telephone_number": "248-406-1000",
            "fax_number": "248-406-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFINITY PRIMARY CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-14",
        "last_updated": "2011-08-05",
        "status": "A",
        "authorized_official_last_name": "DEIGHTON",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-432-7581",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "110F323720",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Associates in Internal Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Bloomfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2011; 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.