Park Place Vein Center

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

AN 067888 Issued in MI

Legal business name

PARK PLACE VEIN CENTER

Practice address

47601 Grand River Ave
Suite a-110
Novi, MI 48374-1233

Phone

(248) 465-4762

NPI assigned

Jul 4, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Alan Bryan Newman, M.D.NPI 1518966951

Title

Owner

Phone

(248) 465-4762

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Alan Bryan Newman, MD

  • Obstetrics & Gynecology Physician
  • Novi, MI
  • NPI 1518966951
  NPD (past) Authorized official

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831129055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3802 SPANISH OAKS DR",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483231859",
            "telephone_number": "248-465-4762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47601 GRAND RIVER AVE",
            "address_2": "SUITE A-110",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483741233",
            "telephone_number": "248-465-4762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK PLACE VEIN CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NEWMAN",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "BRYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-465-4762",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "AN 067888",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4495597",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Pardo
• Kavita Ketul Parikh, RPH
• Manisha Parikh, MD
• Ruth Paris
• Park Internal Medicine PC
• Sungnan Park-Davis, MD
• Greta Park
• Rosemary Haesung Park, MD
• SE-Min John Park, LAC
• Donna Marie Parker-Morgan

• Obstetrics & Gynecology Physician in Novi, MI
• Providers in Novi, MI by specialty
• Obstetrics & Gynecology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.