Active NPI
Immediate Care Medical Center, PC
- Internal Medicine Physician
- Farmington Hills, MI
National Provider Identifier
1770517955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- KZ063288
- Legal business name
- IMMEDIATE CARE MEDICAL CENTER, PC
- Practice address
- 21000 Middlebelt Rd
Farmington Hills, MI 48336-5546 - Phone
- (248) 474-3132
- Fax
- (248) 474-3181
- NPI assigned
- Jul 11, 2006
- Last updated
- Mar 6, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kun Zhong, MD
- Title
- President
- Phone
- (248) 474-3132
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | KZ063288 | MI | Primary |
| Internal Medicine Physician | 207R00000X | SK058204 | MI | |
| Cardiovascular Disease Physician | 207RC0000X | AR069477 | MI |
Addresses
Primary practice location
21000 Middlebelt Rd
Farmington Hills, MI 48336-5546
Mailing address
21000 Middlebelt Rd
Farmington Hills, MI 48336-5546
Phone (248) 474-3132
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Cardiovascular Disease Physician
- Novi, MI
- NPI 1649214974
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1204761600000",
"number": "1770517955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21000 MIDDLEBELT RD",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483365546",
"telephone_number": "248-474-3132",
"fax_number": "248-474-3181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21000 MIDDLEBELT RD",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483365546",
"telephone_number": "248-474-3132",
"fax_number": "248-474-3181"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IMMEDIATE CARE MEDICAL CENTER, PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-11",
"last_updated": "2008-03-06",
"status": "A",
"authorized_official_last_name": "ZHONG",
"authorized_official_first_name": "KUN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "248-474-3132",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "MI",
"license": "KZ063288",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "MI",
"license": "SK058204",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MI",
"license": "AR069477",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Farmington Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.