Organization Active NPI

Vimla K Garg MD PC

  • Family Medicine Physician
  • Taylor, MI
National Provider Identifier
1780909473
Registry record updated Apr 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301056332 Issued in MI
Legal business name
VIMLA K GARG MD PC
Practice address
8400 Pelham Rd
Taylor, MI 48180-3834
Phone
(734) 560-6498
NPI assigned
Apr 6, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2010

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

Authorized official

Name
Dr. Vimla Garg, MD
Title
President
Phone
(734) 560-6498

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 4301056332 MI Primary

Addresses

Primary practice location

8400 Pelham Rd
Taylor, MI 48180-3834

Mailing address

25 Kreger Dr
Wyandotte, MI 48192-6258
Phone (734) 560-6498

Other identifiers 5

IdentifierTypeStateIssuer
1992741607OtherNPI
0808266521OtherBCBS PROVIDER #
0M56100OtherMIMEDICARE PROVIDER NUMBER
4301056332OtherMIMI LICENSE #
4163443MedicaidMI

National Provider Directory

National Provider Directory

Locations

8400 Pelham Rd
Taylor, MI 48180
Phone (313) 291-8820

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": "1270512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270512000000",
    "number": "1780909473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 KREGER DR",
            "city": "WYANDOTTE",
            "state": "MI",
            "postal_code": "481926258",
            "telephone_number": "734-560-6498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8400 PELHAM RD",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481803834",
            "telephone_number": "734-560-6498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIMLA K GARG MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-06",
        "last_updated": "2010-04-06",
        "status": "A",
        "authorized_official_last_name": "GARG",
        "authorized_official_first_name": "VIMLA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-560-6498",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301056332",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1992741607",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "0808266521",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "0M56100",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MI LICENSE #",
            "identifier": "4301056332",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4163443",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2010; 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.