Green Cross Medical Center PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301033614 Issued in MI

Legal business name

GREEN CROSS MEDICAL CENTER PC

Practice address

18041 Greenfield Rd
Detroit, MI 48235-3120

Phone

(313) 837-0072

Fax

(313) 837-0003

NPI assigned

May 11, 2018

Organization subpart

No

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

Authorized official

Name

Emilia Santos Quizon

Title

RN

Phone

(248) 563-8471

Specialties & licenses 1

Addresses

Other identifiers 1

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Green Cross Medical Center PC

  • Urgent Care Clinic/Center
  • Detroit, MI
  • NPI 1427126655
  NPPES parent name

Practitioners 1

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

• Roberto Guelo Quizon, MD

  • Family Medicine Physician
  • Detroit, MI
  • NPI 1538237482
  NPD (past)

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

{
    "created_epoch": "1525996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525996800000",
    "number": "1982194338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18041 GREENFIELD RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482353120",
            "telephone_number": "313-837-0072",
            "fax_number": "313-837-0003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18041 GREENFIELD RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482353120",
            "telephone_number": "313-837-0072",
            "fax_number": "313-837-0003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN CROSS MEDICAL CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-11",
        "last_updated": "2018-05-11",
        "status": "A",
        "authorized_official_last_name": "QUIZON",
        "authorized_official_first_name": "EMILIA",
        "authorized_official_middle_name": "SANTOS",
        "authorized_official_title_or_position": "RN",
        "authorized_official_telephone_number": "248-563-8471"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301033614",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7039547",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Greater Metropolitan Area Services
• Greater Sonora Missionary Baptist Churchsoaring Eagle Ministries
• Greatness LLC
• Jessica Eryn Greb, DO
• Green Cross Medical Center PC
• Green Heart Home Care Agency LLC
• Green Meadows Outreach Ministries
• Sabrina Nicole Green-Barksdale, LPN
• Paula Sue Green-Smith, MA
• Alan F Green, M.D

• Family Medicine Physician in Detroit, MI
• Providers in Detroit, 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 May 11, 2018; 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.