Organization Active NPI

Vincenzo Guglielmetti, MD, PC

  • Family Medicine Physician
  • Southfield, MI
National Provider Identifier
1801357462
Registry record updated Mar 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
VINCENZO GUGLIELMETTI, MD, PC
Practice address
29877 Telegraph Rd Ste 210
Southfield, MI 48034-7658
Phone
(248) 343-8987
NPI assigned
Mar 27, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2019

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

Authorized official

Name
Vincenzo Guglielmetti, MD
Title
Owner
Phone
(248) 343-8987

Specialties & licenses 1

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

Addresses

Primary practice location

29877 Telegraph Rd Ste 210
Southfield, MI 48034-7658

Mailing address

29877 Telegraph Rd Ste 210
Southfield, MI 48034-7658

Other identifiers 1

IdentifierTypeStateIssuer
1508958737MedicaidMI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1553644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553644800000",
    "number": "1801357462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29877 TELEGRAPH RD STE 210",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480347658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29877 TELEGRAPH RD STE 210",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480347658",
            "telephone_number": "248-343-8987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINCENZO GUGLIELMETTI, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-27",
        "last_updated": "2019-03-27",
        "status": "A",
        "authorized_official_last_name": "GUGLIELMETTI",
        "authorized_official_first_name": "VINCENZO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-343-8987",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1508958737",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2019; 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.