NPIMap

Organization Active NPI

Q R & R LLC

  • Internal Medicine Physician
  • Detroit, MI
National Provider Identifier
1821256702
Registry record updated Oct 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
AB053422 Issued in MI
Legal business name
Q R & R LLC
Practice address
2329 W Grand Blvd
Detroit, MI 48208-1205
Phone
(313) 874-3129
Fax
(313) 875-5442
NPI assigned
May 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2008

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

Authorized official

Name
Mrs. Beth Jenkins
Title
Program Director
Phone
(313) 874-3129

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X AB053422 MI Primary

Addresses

Primary practice location

2329 W Grand Blvd
Detroit, MI 48208-1205

Mailing address

2329 W Grand Blvd
Detroit, MI 48208-1205
Phone (313) 874-3129

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1211932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223510400000",
    "number": "1821256702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2329 W GRAND BLVD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482081205",
            "telephone_number": "313-874-3129",
            "fax_number": "313-875-5442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2329 W GRAND BLVD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482081205",
            "telephone_number": "313-874-3129",
            "fax_number": "313-875-5442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "Q R & R LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-28",
        "last_updated": "2008-10-09",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "BETH",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "313-874-3129",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "AB053422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 9, 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.