Virginia Park Internal Medicine PC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

VIRGINIA PARK INTERNAL MEDICINE PC

Practice address

8500 14TH St
Detroit, MI 48206-2425

Phone

(313) 894-3950

Fax

(313) 894-1729

NPI assigned

Sep 30, 2013

Organization subpart

No

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

Authorized official

Name

Joseph N Hagen, DO

Title

President/ Registered Agent

Phone

(313) 894-3950

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1380499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380499200000",
    "number": "1861829343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8500 14TH ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482062425",
            "telephone_number": "313-894-3950",
            "fax_number": "313-894-1729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8500 14TH ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482062425",
            "telephone_number": "313-894-3950",
            "fax_number": "313-894-1729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGINIA PARK INTERNAL MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-30",
        "last_updated": "2013-09-30",
        "status": "A",
        "authorized_official_last_name": "HAGEN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT/ REGISTERED AGENT",
        "authorized_official_telephone_number": "313-894-3950",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pierre E Vinson
• Jake Mykel Vinton, DO
• Vip Home Physicians PLLC
• Vip Medical Care
• Virginia Park Citizens Service Corporation
• Virginia Park Medical Center Professional Corporation
• Virginia Park Medical Services PLLC
• Virginia Park Wellness Center LLC
• Joan Visger, PHD, CNM
• Vision Home Help Care LLC

• Clinic/Center in Detroit, MI
• Providers in Detroit, MI by specialty
• Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2013; 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.