Organization Active NPI

Urban Family Medical Services

  • Internal Medicine Physician
  • Detroit, MI
National Provider Identifier
1962751057
Registry record updated Sep 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
URBAN FAMILY MEDICAL SERVICES
Practice address
14402 Gratiot Ave
Detroit, MI 48205-2307
Phone
(313) 491-1300
NPI assigned
Sep 5, 2012
Last updated
Sep 5, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
URBAN FAMILY MEDICAL SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 5, 2012

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

Authorized official

Name
Mrs. Lenore Vaughn
Title
Owner
Phone
(313) 491-1300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

14402 Gratiot Ave
Detroit, MI 48205-2307

Mailing address

16611 Meyers Rd,
Detroit, MI 48235-4166

National Provider Directory

National Provider Directory
Part of
Urban Family Med Services

Locations

16611 Meyers Rd
Detroit, MI 48235
Phone (313) 341-2420

17563 Greenfield Rd
Ofc
Detroit, MI 48235
Phone (313) 931-3265

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1346803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346803200000",
    "number": "1962751057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16611 MEYERS RD,",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482354166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14402 GRATIOT AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482052307",
            "telephone_number": "313-491-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URBAN FAMILY MEDICAL SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "URBAN FAMILY MEDICAL SERVICES",
        "enumeration_date": "2012-09-05",
        "last_updated": "2012-09-05",
        "status": "A",
        "authorized_official_last_name": "VAUGHN",
        "authorized_official_first_name": "LENORE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-491-1300",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2012; 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.