Professional Health Group Inc

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

Legal business name

PROFESSIONAL HEALTH GROUP INC

Practice address

4700 Greenfield Rd
Dearborn, MI 48126-4124

Phone

(313) 624-9470

Fax

(313) 624-9471

NPI assigned

Nov 30, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Sami Ahmad

Title

Manager

Phone

(313) 624-9470

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1322611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322611200000",
    "number": "1851668123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 TOWN CTR",
            "address_2": "SUITE 625",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480751135",
            "telephone_number": "248-440-7100",
            "fax_number": "248-850-2205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 GREENFIELD RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481264124",
            "telephone_number": "313-624-9470",
            "fax_number": "313-624-9471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL HEALTH GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-30",
        "last_updated": "2011-11-30",
        "status": "A",
        "authorized_official_last_name": "AHMAD",
        "authorized_official_first_name": "SAMI",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "313-624-9470",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "MI",
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pro Care Pharmacy LLC
• Pro Dental Mi 1 PC
• Procare Injury Solutions LLC
• Prodigy Spinal Rehabiliation
• Professional Emergency Care, P.C.
• Professional Home Care Dearborn Oxygen Therapy Co
• Professional Home Doctors
• Professional Physical Therapy Clinic Inc
• Progressive Recovery LLC
• Matthew Proudfoot, D.O.

• Pain Medicine Physician in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Pain Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2011; 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.