Organization Active NPI

Michael L. Gambel M.D., P.C.

Doing business as My Family Doctor

  • Family Medicine Physician
  • Southgate, MI
National Provider Identifier
1942458567
Registry record updated Apr 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301042047
Legal business name
MICHAEL L. GAMBEL M.D., P.C.
Doing business as
My Family Doctor
Practice address
12100 Dix Toledo Rd
Southgate, MI 48195-3531
Phone
(734) 282-5502
Fax
(734) 282-7106
NPI assigned
Sep 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2011

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

Authorized official

Name
Dr. Michael L Gambel, M.D.
Title
Owner/President
Phone
(734) 282-5502

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 4301042047 Primary

Addresses

Primary practice location

12100 Dix Toledo Rd
Southgate, MI 48195-3531

Mailing address

12100 Dix Toledo Rd
Southgate, MI 48195-3531
Phone (734) 282-5502

Other names 1

  • My Family Doctor 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": "1220832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302220800000",
    "number": "1942458567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12100 DIX TOLEDO RD",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481953531",
            "telephone_number": "734-282-5502",
            "fax_number": "734-282-7106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12100 DIX TOLEDO RD",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481953531",
            "telephone_number": "734-282-5502",
            "fax_number": "734-282-7106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL L. GAMBEL M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-08",
        "last_updated": "2011-04-08",
        "status": "A",
        "authorized_official_last_name": "GAMBEL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "734-282-5502",
        "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": "4301042047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "My Family Doctor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Southgate, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.