Crescent Family Practice PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301069416 Issued in MI

Legal business name

CRESCENT FAMILY PRACTICE PC

Practice address

18250 W Warren Ave
Detroit, MI 48228-3427

Phone

(313) 271-2800

Fax

(313) 271-0990

NPI assigned

Oct 22, 2007

Last updated

Oct 22, 2007By 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

Firas Zouabi, MDNPI 1194814467

Title

Owner

Phone

(313) 271-2800

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GIFBCA

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.

• Firas Zouabi, M.D

  • Family Medicine Physician
  • Detroit, MI
  • NPI 1194814467
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1193011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193011200000",
    "number": "1881883247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18250 W WARREN AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482283427",
            "telephone_number": "313-271-2800",
            "fax_number": "313-271-0990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18250 W WARREN AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482283427",
            "telephone_number": "313-271-2800",
            "fax_number": "313-271-0990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESCENT FAMILY PRACTICE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-22",
        "last_updated": "2007-10-22",
        "status": "A",
        "authorized_official_last_name": "ZOUABI",
        "authorized_official_first_name": "FIRAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-271-2800",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301069416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terrance Creighton
• Amanda Lori Cremeens, RN
• Demetrius Crenshaw
• Hope A Crenshaw
• Sheena Crenshaw
• Crescent Pharmacy, L.L.C.
• Tamiko T Creswell
• Nicholas John Cretu, MD
• Rohn Marie Crichlow
• Abby E Crider

• Family Medicine Physician in Detroit, MI
• Providers in Detroit, 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 Oct 22, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.