Organization Active NPI

Wesley Assoc Inc

  • Clinic/Center
  • Detroit, MI
National Provider Identifier
1760676399
Registry record updated Feb 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
WESLEY ASSOC INC
Practice address
5407 Michigan Ave
Detroit, MI 48210-3033
Phone
(313) 899-3211
Fax
(313) 899-3212
NPI assigned
Aug 28, 2007
Last updated
Feb 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2008

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

Authorized official

Name
Edgar Llanos
Title
President
Phone
(313) 899-3211

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

5407 Michigan Ave
Detroit, MI 48210-3033

Mailing address

5407 Michigan Ave
Detroit, MI 48210-3033
Phone (313) 899-3211

National Provider Directory

National Provider Directory

Locations

5407 Michigan Ave
Detroit, MI 48210
Phone (313) 894-4106

6228 Michigan Ave
Detroit, MI 48210
Phone (734) 444-5301

29501 Greenfield Rd
Ste 101
Southfield, MI 48076
Phone (248) 423-7887

Practitioners & affiliated clinicians

Practitioners 2

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": "1188259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203897600000",
    "number": "1760676399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5407 MICHIGAN AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482103033",
            "telephone_number": "313-899-3211",
            "fax_number": "313-899-3212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5407 MICHIGAN AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482103033",
            "telephone_number": "313-899-3211",
            "fax_number": "313-899-3212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESLEY ASSOC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-28",
        "last_updated": "2008-02-25",
        "status": "A",
        "authorized_official_last_name": "LLANOS",
        "authorized_official_first_name": "EDGAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-899-3211"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "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 Feb 25, 2008; 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.