NPIMap

Organization Active NPI

Medical Services of Detroit PC

Doing business as greenfield medical

  • Internal Medicine Physician
  • Southfield, MI
National Provider Identifier
1821177163
Registry record updated Jan 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301041657 Issued in MI
Legal business name
MEDICAL SERVICES OF DETROIT PC
Doing business as
greenfield medical
Practice address
24261 Greenfield Rd # a
Southfield, MI 48075-3117
Phone
(248) 569-9523
Fax
(248) 569-9529
NPI assigned
Nov 6, 2006
Last updated
Jan 2, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
MEDICAL SERVICES OF DETROIT PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 2, 2008

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

Authorized official

Name
Dr. Carmen L Cardona, MDNPI 1851519433
Title
President
Phone
(248) 569-9523

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301086699 MI
Internal Medicine Physician 207R00000X 4301041657 MI Primary

Addresses

Primary practice location

24261 Greenfield Rd # a
Southfield, MI 48075-3117

Mailing address

24261 Greenfield Rd # a
Southfield, MI 48075-3117
Phone (248) 569-9523

Other names 1

  • greenfield medical Doing business as

National Provider Directory

National Provider Directory
Part of
Medical Services of Detroit

Locations

23100 Providence Dr
Ste 105
Southfield, MI 48075
Phone (248) 443-4051

23100 Providence Dr
Ste 226
Southfield, MI 48075
Phone (248) 423-0236

24261 Greenfield Rd
Southfield, MI 48075
Phone (248) 569-8151

24261 Greenfield Rd
#A
Southfield, MI 48075
Phone (248) 569-9523

24261 Greenfield Rd
Ste A
Southfield, MI 48075
Phone (248) 569-8151

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199232000000",
    "number": "1821177163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24261 GREENFIELD RD # A",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480753117",
            "telephone_number": "248-569-9523",
            "fax_number": "248-569-9529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24261 GREENFIELD RD # A",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480753117",
            "telephone_number": "248-569-9523",
            "fax_number": "248-569-9529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL SERVICES OF DETROIT PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDICAL SERVICES OF DETROIT PC",
        "enumeration_date": "2006-11-06",
        "last_updated": "2008-01-02",
        "status": "A",
        "authorized_official_last_name": "CARDONA",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-569-9523",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301086699",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301041657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "greenfield medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 2, 2008; 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.