NPIMap

Organization Active NPI

Holistic Health Clinic of Grosse Pointe PC

  • Family Medicine Physician
  • Saint Clair Shores, MI
National Provider Identifier
1740615632
Registry record updated Sep 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
HOLISTIC HEALTH CLINIC OF GROSSE POINTE PC
Practice address
22790 Harper Ave
Ste C
Saint Clair Shores, MI 48080-1831
Phone
(586) 944-2064
NPI assigned
Sep 10, 2013
Last updated
Sep 10, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2013

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

Authorized official

Name
Dr. Ramfis Fahim
Title
Owner
Phone
(586) 944-2064

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

22790 Harper Ave
Ste C
Saint Clair Shores, MI 48080-1831

Mailing address

22790 Harper Ave
Ste C
Saint Clair Shores, MI 48080-1831

National Provider Directory

National Provider Directory
Tax ID family
Holistic Health Clinic of Grosse Pointe PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

22790 Harper Ave
Ste C
St Clr Shores, MI 48080
Phone (586) 778-6060

NPI Registry JSON

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

{
    "created_epoch": "1378771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378771200000",
    "number": "1740615632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22790 HARPER AVE",
            "address_2": "STE C",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480801831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22790 HARPER AVE",
            "address_2": "STE C",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480801831",
            "telephone_number": "586-944-2064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC HEALTH CLINIC OF GROSSE POINTE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-10",
        "last_updated": "2013-09-10",
        "status": "A",
        "authorized_official_last_name": "FAHIM",
        "authorized_official_first_name": "RAMFIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-944-2064",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Clair Shores, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2013; 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.