Pure Health of Michigan

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PURE HEALTH OF MICHIGAN

Practice address

17800 Northland Park CT
Southfield, MI 48075-4304

Phone

(248) 233-4076

Fax

(248) 233-4079

NPI assigned

Nov 29, 2022

Organization subpart

No

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

Authorized official

Name

Antoine Tucker

Title

Office Director

Phone

(248) 233-4076

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1669680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672012800000",
    "number": "1891405031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17800 NORTHLAND PARK CT",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480754304",
            "telephone_number": "248-233-4076",
            "fax_number": "248-233-4079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17800 NORTHLAND PARK CT",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480754304",
            "telephone_number": "248-233-4076",
            "fax_number": "248-233-4079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE HEALTH OF MICHIGAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-29",
        "last_updated": "2022-12-26",
        "certification_date": "2022-12-26",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "ANTOINE",
        "authorized_official_title_or_position": "OFFICE DIRECTOR",
        "authorized_official_telephone_number": "248-233-4076"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pulsemed Equipment and Supplies Inc
• Subin Punnen, MD
• Pupp and Associates Podiatry PLLC
• Guy Richard Pupp, DPM
• Sarah M Purcell, MS, RDS, IBCLC
• Pure Performance Orthopedics & Sports Medicine
• Pure Psychiatry of Michigan PLLC
• Pure Reflections Counseling Center
• Vinod K Puri, MD
• Purple Butterfly L.L.C

• 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 Dec 26, 2022; 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.