Active NPI
Avci Medical Center
- Family Medicine Physician
- Commerce Township, MI
National Provider Identifier
1740398940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- GA012197
- Legal business name
- AVCI MEDICAL CENTER
- Practice address
- 1990 Union Lake Rd
Suite 100
Commerce Township, MI 48382-2202 - Phone
- (248) 363-7109
- Fax
- (248) 363-7211
- NPI assigned
- Aug 28, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gunsel Fatima Avci-Wolf, DO
- Title
- President/Owner
- Phone
- (248) 363-7109
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | GA012197 | MI | Primary |
Addresses
Primary practice location
1990 Union Lake Rd
Suite 100
Commerce Township, MI 48382-2202
Mailing address
1990 Union Lake Rd
Suite 100
Commerce Township, MI 48382-2202
Phone (248) 363-7109
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3154038 | Medicaid | MI |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Family Medicine Physician
- Commerce TWP, MI
- NPI 1003970799
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156723200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1740398940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1990 UNION LAKE RD",
"address_2": "SUITE 100",
"city": "COMMERCE TOWNSHIP",
"state": "MI",
"postal_code": "483822202",
"telephone_number": "248-363-7109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1990 UNION LAKE RD",
"address_2": "SUITE 100",
"city": "COMMERCE TOWNSHIP",
"state": "MI",
"postal_code": "483822202",
"telephone_number": "248-363-7109",
"fax_number": "248-363-7211"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AVCI MEDICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-28",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "AVCI-WOLF",
"authorized_official_first_name": "GUNSEL",
"authorized_official_middle_name": "FATIMA",
"authorized_official_title_or_position": "PRESIDENT/OWNER",
"authorized_official_telephone_number": "248-363-7109",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "GA012197",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3154038",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Commerce Township, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.