Organization Active NPI

Plymouth Canton Medical Center

  • Family Medicine Physician
  • Canton, MI
National Provider Identifier
1942391768
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PLYMOUTH CANTON MEDICAL CENTER
Practice address
7321 N Lilley Rd
Canton, MI 48187-2457
Phone
(734) 459-0700
Fax
(734) 459-1019
NPI assigned
Sep 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Daniel Tuason Deguzman, M.D.
Title
President
Phone
(734) 459-0700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

7321 N Lilley Rd
Canton, MI 48187-2457

Mailing address

7321 N Lilley Rd
Canton, MI 48187-2457
Phone (734) 459-0700

Other identifiers 1

IdentifierTypeStateIssuer
01-08282852OtherMIBCBS PROVDER #

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942391768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7321 N LILLEY RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481872457",
            "telephone_number": "734-459-0700",
            "fax_number": "734-459-1019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7321 N LILLEY RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481872457",
            "telephone_number": "734-459-0700",
            "fax_number": "734-459-1019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLYMOUTH CANTON MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEGUZMAN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "TUASON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-459-0700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVDER #",
            "identifier": "01-08282852",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.