Active NPI
Envision Medical Group PLLC
- Family Medicine Physician
- Northville, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- ENVISION MEDICAL GROUP PLLC
- Practice address
- 422 N Center St
Northville, MI 48167-1224 - Phone
- (248) 348-1131
- NPI assigned
- Dec 14, 2010
- Last updated
- Jan 8, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Wayne, MD
- Title
- Managing Member
- Phone
- (248) 348-8700
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
422 N Center St
Northville, MI 48167-1224
Mailing address
PO Box 27420
Belfast, ME 04915-2026
Phone (405) 682-3303
National Provider Directory
National Provider DirectoryLocations
422 N Center St
Ste A
Northville, MI 48167
Phone (248) 348-1131
42931 7 Mile Rd
Northville, MI 48167
Phone (248) 348-2442
39475 Lewis Dr
Ste 110
Novi, MI 48377
Phone (248) 471-0675
39475 Lewis Dr
Ste 200
Novi, MI 48377
Phone (248) 471-0675
12660 10 Mile Rd
Ste 101
South Lyon, MI 48178
Phone (248) 449-7156
12660 10 Mile Rd
Ste A
South Lyon, MI 48178
Phone (248) 587-1132
Practitioners & affiliated clinicians
Practitioners 74
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.
-
- Family Medicine Physician
- Northville, MI
- NPI 1629177035
-
- Cardiovascular Disease Physician
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- NPI 1992873418
-
- Nephrology Physician
- Novi, MI
- NPI 1053627570
-
- Cardiovascular Disease Physician
- Dearborn, MI
- NPI 1760665863
-
- Medical Physician Assistant
- Novi, MI
- NPI 1609344217
-
- Cardiovascular Disease Physician
- Livonia, MI
- NPI 1982676433
-
- Nurse Practitioner
- Ann Arbor, MI
- NPI 1851775589
-
- Medical Physician Assistant
- Livonia, MI
- NPI 1578048138
-
- Physician Assistant
- Novi, MI
- NPI 1831277375
-
- Physician Assistant
- Livonia, MI
- NPI 1295705382
-
- Family Medicine Physician
- Northville, MI
- NPI 1326535667
-
- Family Medicine Physician
- Northville, MI
- NPI 1376679399
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1292284800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1610064000000",
"number": "1821391848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 27420",
"city": "BELFAST",
"state": "ME",
"postal_code": "049152026",
"telephone_number": "405-682-3303",
"fax_number": "405-384-6793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "422 N CENTER ST",
"city": "NORTHVILLE",
"state": "MI",
"postal_code": "481671224",
"telephone_number": "248-348-1131"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ENVISION MEDICAL GROUP PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-12-14",
"last_updated": "2021-01-08",
"certification_date": "2021-01-08",
"status": "A",
"authorized_official_last_name": "WAYNE",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "248-348-8700",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Northville, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.