NPIMap

Organization Active NPI

Virginia Park Medical Services PLLC

  • General Practice Physician
  • Detroit, MI
National Provider Identifier
1730411844
Registry record updated Feb 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
VIRGINIA PARK MEDICAL SERVICES PLLC
Practice address
8500 14TH St
Detroit, MI 48206-2425
Phone
(313) 894-8504
NPI assigned
Feb 1, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2010

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

Authorized official

Name
Dr. Joseph N. Hagen, D.O.
Title
Owner
Phone
(313) 894-8504

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

8500 14TH St
Detroit, MI 48206-2425

Mailing address

PO Box 760128
Lathrup Village, MI 48076-0128

National Provider Directory

National Provider Directory

Locations

15565 Northland Dr W
Ste 804W
Southfield, MI 48075
Phone (248) 910-0853

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1264982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264982400000",
    "number": "1730411844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 760128",
            "city": "LATHRUP VILLAGE",
            "state": "MI",
            "postal_code": "480760128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8500 14TH ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482062425",
            "telephone_number": "313-894-8504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGINIA PARK MEDICAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-01",
        "last_updated": "2010-02-01",
        "status": "A",
        "authorized_official_last_name": "HAGEN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-894-8504",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2010; 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.