NPIMap

Organization Active NPI

Premise Health of Michigan Medical PC

Doing business as DTNA - Detroit

  • Multi-Specialty Clinic/Center
  • Detroit, MI
National Provider Identifier
1790356764
Registry record updated Feb 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
PREMISE HEALTH OF MICHIGAN MEDICAL PC
Doing business as
DTNA - Detroit
Practice address
13440 W Outer Dr
Detroit, MI 48239-1309
Phone
(313) 324-8180
Fax
(312) 324-8186
NPI assigned
Jul 9, 2021
Last updated
Feb 17, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2026

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

Authorized official

Name
Edward William Schwartz
Title
President
Phone
(844) 407-7557

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

13440 W Outer Dr
Detroit, MI 48239-1309

Mailing address

5500 Maryland Way
Brentwood, TN 37027-7048
Phone (313) 324-8180

Other names 1

  • DTNA - Detroit Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Premise Health of Michigan Medical PC12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Locations

13440 W Outer Dr
Detroit, MI 48239
Phone (313) 324-8180

NPI Registry JSON

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

{
    "created_epoch": "1625788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771286400000",
    "number": "1790356764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 MARYLAND WAY",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277048",
            "telephone_number": "313-324-8180",
            "fax_number": "312-324-8186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13440 W OUTER DR",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482391309",
            "telephone_number": "313-324-8180",
            "fax_number": "312-324-8186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMISE HEALTH OF MICHIGAN MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-09",
        "last_updated": "2026-02-17",
        "certification_date": "2026-02-17",
        "status": "A",
        "authorized_official_last_name": "SCHWARTZ",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "844-407-7557"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DTNA - Detroit",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DTNA - Detroit",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 17, 2026; 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.