Organization Active NPI

Midwest Family Practices, PLC

Doing business as Midwest Family Medicine

  • Family Medicine Physician
  • Warren, MI
National Provider Identifier
1770819864
Registry record updated Oct 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MIDWEST FAMILY PRACTICES, PLC
Doing business as
Midwest Family Medicine
Practice address
12640 E 12 Mile Rd
Warren, MI 48093-3520
Phone
(586) 751-2020
Fax
(586) 751-7872
NPI assigned
Oct 23, 2009
Last updated
Oct 27, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2009

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

Authorized official

Name
Sam H Awada, M.D.NPI 1811984594
Title
Owner
Phone
(586) 751-2020

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)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MI Primary
Internal Medicine Physician 207R00000X MI
Pediatrics Physician 208000000X MI

Addresses

Primary practice location

12640 E 12 Mile Rd
Warren, MI 48093-3520

Mailing address

12640 E 12 Mile Rd
Warren, MI 48093-3520
Phone (586) 751-2020

Other names 1

  • Midwest Family Medicine Doing business as

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, 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": "1256256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256601600000",
    "number": "1770819864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12640 E 12 MILE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480933520",
            "telephone_number": "586-751-2020",
            "fax_number": "586-751-7872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12640 E 12 MILE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480933520",
            "telephone_number": "586-751-2020",
            "fax_number": "586-751-7872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST FAMILY PRACTICES, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-23",
        "last_updated": "2009-10-27",
        "status": "A",
        "authorized_official_last_name": "AWADA",
        "authorized_official_first_name": "SAM",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-751-2020",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Midwest Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Warren, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2009; 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.