Primecare on Wixom PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PRIMECARE ON WIXOM PLLC

Practice address

27250 Wixom Rd Ste a
Novi, MI 48374-1116

Phone

(248) 426-7200

Fax

(248) 426-7335

NPI assigned

Feb 12, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Robert Zaid, DONPI 1679647200

Title

Owner

Phone

(248) 426-7200

Specialties & licenses 1

Addresses

Other names 1

• PrimeCare on Wixom Other name

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert Raja Zaid, D.O.

  • Family Medicine Physician
  • Novi, MI
  • NPI 1679647200

  Family Medicine, MI

  Medicare reassignment NPD Authorized official
• Victor Samir Faris, M.D.

  • Sports Medicine (Family Medicine) Physician
  • Royal Oak, MI
  • NPI 1275736936

  Family Medicine, MI

  Medicare reassignment NPD
• Jodi Linn Farley, MD

  • Family Medicine Physician
  • Howell, MI
  • NPI 1861784514

  Family Medicine, MI

  Medicare reassignment NPD
• Theodore William Shively, D.O.

  • Family Medicine Physician
  • Novi, MI
  • NPI 1780666461

  Family Medicine, MI

  Medicare reassignment NPD
• Lauren Marina Webster, FNP

  • Family Nurse Practitioner
  • Novi, MI
  • NPI 1053145037

  MI

  Medicare reassignment NPD
• Jonathon R Wolocko, M.D.

  • Family Medicine Physician
  • Howell, MI
  • NPI 1386937787

  Family Medicine, MI

  Medicare reassignment NPD

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

{
    "created_epoch": "1518393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518393600000",
    "number": "1982103362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39555 W 10 MILE RD STE 302",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483752950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27250 WIXOM RD STE A",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483741116",
            "telephone_number": "248-426-7200",
            "fax_number": "248-426-7335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMECARE ON WIXOM PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-12",
        "last_updated": "2018-02-12",
        "status": "A",
        "authorized_official_last_name": "ZAID",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-426-7200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PrimeCare on Wixom",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Rachel Price
• Sandra Pride
• Tressa A Priehs, D.D.S.
• David W Prieskorn, D.O.
• Primecare of Novi PLLC
• Primecare Urgent Care PLLC
• Primrose Physical & Aquatic Therapy
• Alice Prince
• Lesia Prince
• Precious Pringle

• Family Medicine Physician in Novi, MI
• Providers in Novi, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.