NPIMap

Organization Active NPI

Infinity Primary Care, PLLC

Doing business as West Bloomfield Family Practice

  • Family Medicine Physician
  • Novi, MI
National Provider Identifier
1750507729
Registry record updated Mar 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
INFINITY PRIMARY CARE, PLLC
Doing business as
West Bloomfield Family Practice
Practice address
28455 Haggerty Rd
Suite #100
Novi, MI 48377-2982
Phone
(248) 553-2200
Fax
(248) 553-2201
NPI assigned
Apr 18, 2007
Last updated
Mar 25, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2011

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

Authorized official

Name
Kevin G. Deighton, M.D.NPI 1942277397
Title
President
Phone
(734) 432-7581

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)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

28455 Haggerty Rd
Suite #100
Novi, MI 48377-2982

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
080F323740OtherMIBCBSM

Other names 1

  • West Bloomfield Family Practice 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.

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301011200000",
    "number": "1750507729",
    "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": "28455 HAGGERTY RD",
            "address_2": "SUITE #100",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483772982",
            "telephone_number": "248-553-2200",
            "fax_number": "248-553-2201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFINITY PRIMARY CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2011-03-25",
        "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": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "080F323740",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Bloomfield Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Novi, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.