Organization Active NPI

Paul Petre MD PC

  • Family Medicine Physician
  • Warren, MI
National Provider Identifier
1881868685
Registry record updated Apr 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PAUL PETRE MD PC
Practice address
28800 Ryan Rd
Warren, MI 48092-4272
Phone
(586) 573-6400
Fax
(586) 576-1918
NPI assigned
Apr 14, 2008
Organization subpart
Yes
Parent organization
PAUL PETRE MD PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 14, 2008

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

Authorized official

Name
Dave Satawa
Title
Manager
Phone
(586) 573-6400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

28800 Ryan Rd
Warren, MI 48092-4272

Mailing address

28800 Ryan Rd
Warren, MI 48092-4272
Phone (586) 573-6400

Other names 1

  • Southwest Visiting Physicains Doing business as

National Provider Directory

National Provider Directory
Part of
Paul Petre MD PC

NPI Registry JSON

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

{
    "created_epoch": "1208131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208131200000",
    "number": "1881868685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28800 RYAN RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480924272",
            "telephone_number": "586-573-6400",
            "fax_number": "586-576-1918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28800 RYAN RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480924272",
            "telephone_number": "586-573-6400",
            "fax_number": "586-576-1918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL PETRE MD PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PAUL PETRE MD PC",
        "enumeration_date": "2008-04-14",
        "last_updated": "2008-04-14",
        "status": "A",
        "authorized_official_last_name": "SATAWA",
        "authorized_official_first_name": "DAVE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "586-573-6400"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southwest Visiting Physicains",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Warren, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2008; 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.