Organization Active NPI

Espinosa Health Plaza PLLC

  • Community Health Worker
  • Columbiaville, MI
National Provider Identifier
1750797759
Registry record updated Jul 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
License
NM059644 Issued in MI
Legal business name
ESPINOSA HEALTH PLAZA PLLC
Practice address
4526 Pine St
Columbiaville, MI 48421-0007
Phone
(810) 793-7550
Fax
(810) 793-7962
NPI assigned
Jul 10, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2014

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

Authorized official

Name
Dr. Naveed Mahfooz, M.D.
Title
Sole MBR
Phone
(810) 793-7550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 172V00000X NM059644 MI Primary

Addresses

Primary practice location

4526 Pine St
Columbiaville, MI 48421-0007

Mailing address

PO Box 7
4526 Pine St
Columbiaville, MI 48421-0007
Phone (810) 793-7550

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.

NPI Registry JSON

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

{
    "created_epoch": "1404950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404950400000",
    "number": "1750797759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7",
            "address_2": "4526 PINE ST",
            "city": "COLUMBIAVILLE",
            "state": "MI",
            "postal_code": "484210007",
            "telephone_number": "810-793-7550",
            "fax_number": "810-793-7962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4526 PINE ST",
            "city": "COLUMBIAVILLE",
            "state": "MI",
            "postal_code": "484210007",
            "telephone_number": "810-793-7550",
            "fax_number": "810-793-7962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESPINOSA HEALTH PLAZA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-10",
        "last_updated": "2014-07-10",
        "status": "A",
        "authorized_official_last_name": "MAHFOOZ",
        "authorized_official_first_name": "NAVEED",
        "authorized_official_title_or_position": "SOLE MBR",
        "authorized_official_telephone_number": "810-793-7550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Community Health Worker",
            "state": "MI",
            "license": "NM059644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbiaville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2014; 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.