Organization Active NPI

Divinty Visiting Physicians

  • Internal Medicine Physician
  • Farmington Hills, MI
National Provider Identifier
1790925352
Registry record updated Feb 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
DIVINTY VISITING PHYSICIANS
Practice address
31513 Northwestern Hwy
Farmington Hills, MI 48334-2528
Phone
(248) 539-4640
Fax
(248) 539-4645
NPI assigned
Feb 23, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2009

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

Authorized official

Name
Miss Chansey Smith
Title
Owner
Phone
(248) 539-4640

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

31513 Northwestern Hwy
Farmington Hills, MI 48334-2528

Mailing address

18597 W 10 Mile Rd
Suite 05
Southfield, MI 48075-2663
Phone (248) 423-2988

National Provider Directory

National Provider Directory

Locations

18591 W 10 Mile Rd
Ste 2
Southfield, MI 48075
Phone (248) 423-2988

NPI Registry JSON

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

{
    "created_epoch": "1235347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235347200000",
    "number": "1790925352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18597 W 10 MILE RD",
            "address_2": "SUITE 05",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480752663",
            "telephone_number": "248-423-2988",
            "fax_number": "248-423-2922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31513 NORTHWESTERN HWY",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483342528",
            "telephone_number": "248-539-4640",
            "fax_number": "248-539-4645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINTY VISITING PHYSICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-23",
        "last_updated": "2009-02-23",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "CHANSEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-539-4640",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Feb 23, 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.