Physician Group

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

PHYSICIAN GROUP

Practice address

4870 W Clark Rd
Ste 100a
Ypsilanti, MI 48197-1104

Phone

(734) 444-4063

Fax

(734) 418-2774

NPI assigned

May 25, 2010

Organization subpart

No

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

Authorized official

Name

Aisha Ashfaq

Title

Owner

Phone

(734) 444-4063

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1274745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349913600000",
    "number": "1740509116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4870 W CLARK RD",
            "address_2": "STE 100 A",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481971104",
            "telephone_number": "734-444-4063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4870 W CLARK RD",
            "address_2": "STE 100A",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481971104",
            "telephone_number": "734-444-4063",
            "fax_number": "734-418-2774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIAN GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-25",
        "last_updated": "2012-10-11",
        "status": "A",
        "authorized_official_last_name": "ASHFAQ",
        "authorized_official_first_name": "AISHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-444-4063"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stella Petrovici, PHARMD
• Hoang Tran Pham, MD
• Michele Philipp, RNFA
• Walter Eric Phillips, D.D.S.
• William Phillips
• Christopher Picking, MD
• Emily K Piellusch, LLMSW
• Lisa Pierce
• Rylie Anne Pierce, CRNA
• Holly Joanna-Jones Pierson, NP

• General Practice Physician in Ypsilanti, MI
• Providers in Ypsilanti, 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 Oct 11, 2012; 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.