NPIMap

Organization Active NPI

Primary Child and Adult Renowned Excellence PC

  • Internal Medicine Physician
  • Ferndale, MI
National Provider Identifier
1902184963
Registry record updated Aug 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PRIMARY CHILD AND ADULT RENOWNED EXCELLENCE PC
Practice address
911 E 9 Mile Rd
Ferndale, MI 48220-1934
Phone
(248) 542-3300
Fax
(248) 542-0329
NPI assigned
Jul 25, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2011

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

Authorized official

Name
Dr. Ted S Naman, M.D.
Title
President
Phone
(248) 709-7800

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X MI
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X MI Primary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X MI

Addresses

Primary practice location

911 E 9 Mile Rd
Ferndale, MI 48220-1934

Mailing address

1315 Porters LN
Bloomfield Hills, MI 48302-0943
Phone (248) 709-7800

Other names 1

  • PRIMARY C A R E PC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1311552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312243200000",
    "number": "1902184963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 PORTERS LN",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483020943",
            "telephone_number": "248-709-7800",
            "fax_number": "248-334-8585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 E 9 MILE RD",
            "city": "FERNDALE",
            "state": "MI",
            "postal_code": "482201934",
            "telephone_number": "248-542-3300",
            "fax_number": "248-542-0329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CHILD AND ADULT RENOWNED EXCELLENCE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-25",
        "last_updated": "2011-08-02",
        "status": "A",
        "authorized_official_last_name": "NAMAN",
        "authorized_official_first_name": "TED",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-709-7800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "MI",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRIMARY C A R E PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ferndale, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2011; 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.