NPIMap

Organization Active NPI

Detroit Medical Center/Sinai Grace

  • Internal Medicine Physician
  • Detroit, MI
National Provider Identifier
1750510756
Registry record updated Jul 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
L1594590 Issued in MI
Legal business name
DETROIT MEDICAL CENTER/SINAI GRACE
Practice address
4201 Saint Antoine St
9C Uhc
Detroit, MI 48201-2153
Phone
(313) 966-0515
NPI assigned
Jul 11, 2009
Last updated
Jul 11, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2009

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

Authorized official

Name
Dr. Eric Devaughn Taylor, M.D.
Title
Intern
Phone
(810) 449-7205

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X L1594590 MI Primary

Addresses

Primary practice location

4201 Saint Antoine St
9C Uhc
Detroit, MI 48201-2153

Mailing address

26285 Berg Rd
Apt 276
Southfield, MI 48033-2432
Phone (810) 449-7205

National Provider Directory

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": "1247270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247270400000",
    "number": "1750510756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26285 BERG RD",
            "address_2": "APT 276",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480332432",
            "telephone_number": "810-449-7205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 SAINT ANTOINE ST",
            "address_2": "9C UHC",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012153",
            "telephone_number": "313-966-0515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DETROIT MEDICAL CENTER/SINAI GRACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-11",
        "last_updated": "2009-07-11",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "DEVAUGHN",
        "authorized_official_title_or_position": "INTERN",
        "authorized_official_telephone_number": "810-449-7205",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "L1594590",
            "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 Jul 11, 2009; 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.