Medical Group Practice, P.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

5101005940 Issued in MI

Legal business name

MEDICAL GROUP PRACTICE, P.C.

Practice address

9460 Middlebelt Rd
Livonia, MI 48150-3059

Phone

(734) 425-0500

Fax

(734) 425-1002

NPI assigned

Mar 4, 2007

Organization subpart

No

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

Authorized official

Name

Dr. William P Penn, D.O.NPI 1740287812

Title

Owner

Phone

(734) 425-0500

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William Paul Penn, D.O.

  • Family Medicine Physician
  • Livonia, MI
  • NPI 1740287812
  Medicare reassignment NPD Authorized official
• Hope M Gregory, FNP

  • Family Nurse Practitioner
  • Northville, MI
  • NPI 1912348244
  NPD (past)

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

{
    "created_epoch": "1172966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244419200000",
    "number": "1801925201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9460 MIDDLEBELT RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481503059",
            "telephone_number": "734-425-0500",
            "fax_number": "734-425-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9460 MIDDLEBELT RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481503059",
            "telephone_number": "734-425-0500",
            "fax_number": "734-425-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL GROUP PRACTICE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-04",
        "last_updated": "2009-06-08",
        "status": "A",
        "authorized_official_last_name": "PENN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-425-0500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101005940",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101004910",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Jean Medaugh, MD
• Medcart LTC Inc
• Medcart Specialty Care LLC
• Medcore Home Medical Equipment LLC
• Medical Center Foot and Ankle PC
• Medical Pain Relief Cam Center, PC
• Medical Social Work Rehabilitation Management, LLC
• Medical Wig Studio & Salon LLC
• Medical Wig Studio & Salon LLC
• William Mathew Medlin

• Family Medicine Physician in Livonia, MI
• Providers in Livonia, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.