United Physicians Support Solutions, LLC

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

Legal business name

UNITED PHYSICIANS SUPPORT SOLUTIONS, LLC

Practice address

30800 Telegraph Rd
Suite 2800
Bingham Farms, MI 48025-4542

Phone

(248) 593-0100

Fax

(248) 593-0117

NPI assigned

Feb 8, 2012

Organization subpart

Yes

Parent organization

UNITED PHYSICIANS, INC.As reported in NPPES

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

Authorized official

Name

Dr. Harry Doerr, M.D.

Title

Chief Medical Officer

Phone

(248) 593-0143

Specialties & licenses 4

Addresses

Part of

United Physicians Inc

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

{
    "created_epoch": "1328659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328659200000",
    "number": "1750653655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30800 TELEGRAPH RD",
            "address_2": "SUITE 2800",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254542",
            "telephone_number": "248-593-0100",
            "fax_number": "248-593-0117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30800 TELEGRAPH RD",
            "address_2": "SUITE 2800",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254542",
            "telephone_number": "248-593-0100",
            "fax_number": "248-593-0117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED PHYSICIANS SUPPORT SOLUTIONS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNITED PHYSICIANS, INC.",
        "enumeration_date": "2012-02-08",
        "last_updated": "2012-02-08",
        "status": "A",
        "authorized_official_last_name": "DOERR",
        "authorized_official_first_name": "HARRY",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "248-593-0143",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WC0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "163WD0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Tyree
• Audrey Tysinger
• Diamond Tyus
• United Physicians
• United Physicians
• United Physicians, Inc.
• University Physician Group
• Neha Vallabhaneni
• Cathryn Van Dusen, FNP-C
• Karen Van Poperin

• Case Management Registered Nurse in Bingham Farms, MI
• Providers in Bingham Farms, MI by specialty
• Case Management Registered Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.