Ptpeastpointe,P.C.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

34874 Issued in MI

Legal business name

PTPEASTPOINTE,P.C.

Practice address

15200 Eeast Ten Mile Road
Eastpointe, MI 48021-1010

Phone

(586) 773-7667

NPI assigned

May 23, 2007

Last updated

Dec 31, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Suthin Liptawat, M.D.

Title

President

Phone

(586) 773-7667

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nayana Dekhne

  • Surgery Physician
  • Royal Oak, MI
  • NPI 1396704227
  NPD (past)

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199059200000",
    "number": "1962612606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15200 EAST TEN MILE ROAD",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "480211010",
            "telephone_number": "586-773-7667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15200 EEAST TEN MILE ROAD",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "480211010",
            "telephone_number": "586-773-7667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PTPEASTPOINTE,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2007-12-31",
        "status": "A",
        "authorized_official_last_name": "LIPTAWAT",
        "authorized_official_first_name": "SUTHIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-773-7667",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MI",
            "license": "34874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Terez Quainton
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• Maria Rodriquez Ramos, PT

• Primary Care Clinic/Center in Eastpointe, MI
• Providers in Eastpointe, MI by specialty
• Primary Care Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2007; 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.