Organization Active NPI

Lincoln Medical Center

  • Internal Medicine Physician
  • Southfield, MI
National Provider Identifier
1891068508
Registry record updated Feb 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301058935 Issued in MI
Legal business name
LINCOLN MEDICAL CENTER
Practice address
23077 Greenfield Rd Ste 156
Southfield, MI 48075-3770
Phone
(248) 557-3337
NPI assigned
Feb 13, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2012

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

Authorized official

Name
Dr. David Criss, M.D.
Title
Physician/Owner
Phone
(248) 557-3337

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 4301058935 MI Primary

Addresses

Primary practice location

23077 Greenfield Rd Ste 156
Southfield, MI 48075-3770

Mailing address

23077 Greenfield Rd Ste 156
Southfield, MI 48075-3770
Phone (248) 557-3337

National Provider Directory

National Provider Directory

Locations

23077 Greenfield Rd
Ste 156
Southfield, MI 48075
Phone (248) 417-1008

21700 Northwestern Hwy
Ste 815
Southfield, MI 48075
Phone (248) 557-3337

NPI Registry JSON

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

{
    "created_epoch": "1329091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329091200000",
    "number": "1891068508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23077 GREENFIELD RD STE 156",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480753770",
            "telephone_number": "248-557-3337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23077 GREENFIELD RD STE 156",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480753770",
            "telephone_number": "248-557-3337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCOLN MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-13",
        "last_updated": "2012-02-13",
        "status": "A",
        "authorized_official_last_name": "CRISS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "248-557-3337",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301058935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2012; 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.