Organization Active NPI

Professional Home Doctors

Doing business as The Detroit Medical Clinic

  • Internal Medicine Physician
  • Detroit, MI
National Provider Identifier
1972842227
Registry record updated Feb 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PROFESSIONAL HOME DOCTORS
Doing business as
The Detroit Medical Clinic
Practice address
21800 W 7 Mile Rd
Detroit, MI 48219-1897
Phone
(313) 355-8686
Fax
(313) 355-8828
NPI assigned
Feb 6, 2013
Organization subpart
Yes
Parent organization
PROFESSIONAL HOME DOCTIRSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 6, 2013

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

Authorized official

Name
Mr. Spencer D Sanders
Title
President
Phone
(313) 779-2898

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

21800 W 7 Mile Rd
Detroit, MI 48219-1897

Mailing address

PO Box 2227
Southfield, MI 48037-2227
Phone (313) 779-2898

Other names 1

  • THE DETROIT MEDICAL CLINIC Doing business as

National Provider Directory

National Provider Directory
Part of
Professional Home Doctors

NPI Registry JSON

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

{
    "created_epoch": "1360108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360108800000",
    "number": "1972842227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2227",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480372227",
            "telephone_number": "313-779-2898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21800 W 7 MILE RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482191897",
            "telephone_number": "313-355-8686",
            "fax_number": "313-355-8828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL HOME DOCTORS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PROFESSIONAL HOME DOCTIRS",
        "enumeration_date": "2013-02-06",
        "last_updated": "2013-02-06",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "SPENCER",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-779-2898",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE DETROIT MEDICAL CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 6, 2013; 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.