Optimal Physician Services PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301084828 Issued in MI

Legal business name

OPTIMAL PHYSICIAN SERVICES PC

Practice address

24361 Greenfield Rd
Ste 115
Southfield, MI 48075-3139

Phone

(313) 407-5242

Fax

(248) 443-8120

NPI assigned

Jul 27, 2009

Last updated

Aug 10, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Solomon Beniako Adu, M.D.

Title

Owner

Phone

(313) 407-5242

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Darryl James

  • Physician Assistant
  • Southfield, MI
  • NPI 1881923134
  NPD (past)

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

{
    "created_epoch": "1248652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249862400000",
    "number": "1881825750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24361 GREENFIELD RD",
            "address_2": "STE 115",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480753139",
            "telephone_number": "313-407-5242",
            "fax_number": "248-443-8120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24361 GREENFIELD RD",
            "address_2": "STE 115",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480753139",
            "telephone_number": "313-407-5242",
            "fax_number": "248-443-8120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL PHYSICIAN SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-27",
        "last_updated": "2009-08-10",
        "status": "A",
        "authorized_official_last_name": "ADU",
        "authorized_official_first_name": "SOLOMON",
        "authorized_official_middle_name": "BENIAKO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-407-5242",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301084828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Southfield, MI
• Providers in Southfield, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2009; 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.