Greater Detroit Community Care

Primary specialty

Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X

Legal business name

GREATER DETROIT COMMUNITY CARE

Practice address

5479 Schaefer Road
Dearborn, MI 48126

Phone

(313) 357-2225

Fax

(313) 357-2229

NPI assigned

Jun 1, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kenneth D Mitchell, DPMNPI 1144390873

Title

Ceo

Phone

(313) 831-9269

Specialties & licenses 1

Addresses

Locations

Practitioners 5

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.

• Kenneth Dernell Mitchell, DPM

  • Podiatrist
  • Southfield, MI
  • NPI 1144390873
  NPD (past) Authorized official
• Innocent Egwuatu Agbassi, M.D.

  • Adult Medicine Physician
  • Livonia, MI
  • NPI 1922053636
  NPD (past)
• Penola M. Garvin-Leslie, M.D.

  • Family Medicine Physician
  • Detroit, MI
  • NPI 1831140359
  NPD (past)
• Timothy Whiteus, M.D.

  • Internal Medicine Physician
  • Detroit, MI
  • NPI 1174543342
  NPD (past)
• Paresha A. Patel, MD

  • Internal Medicine Physician
  • South Weymouth, MA
  • NPI 1275502668
  NPD (past)

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770520553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5479 SCHAEFER ROAD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "48126",
            "telephone_number": "313-357-2225",
            "fax_number": "313-357-2229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5479 SCHAEFER ROAD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "48126",
            "telephone_number": "313-357-2225",
            "fax_number": "313-357-2229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER DETROIT COMMUNITY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "313-831-9269",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Great Lakes Medical Laboratories, Inc.
• Great Lakes Musculoskeletal Ultrasound Inc. (Great Lakes MSK US INC.)
• Great Lakes Pediatric Neurology
• Great Lakes Porter SVC
• Great Lakes Reading, PLLC
• Greater Michigan Cardiovascular Surgeons PLC
• Kristie K Greear, PA-C
• Green Medical Supply LLC
• Green Valley Home Health
• Bythie Green

• Public Health & General Preventive Medicine Physician in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Public Health & General Preventive Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.