Friendly Neighborhood Medical Clinic

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

FRIENDLY NEIGHBORHOOD MEDICAL CLINIC

Practice address

14366 Gratiot Ave
Suite 101
Detroit, MI 48205-2307

Phone

(313) 526-7577

Fax

(313) 526-7587

NPI assigned

Jul 21, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Nancy R Williams

Title

Owner

Phone

(313) 530-5884

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1216598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223510400000",
    "number": "1982869889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14366 GRATIOT AVE",
            "address_2": "SUITE 101",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482052307",
            "telephone_number": "313-526-7577",
            "fax_number": "313-526-7587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14366 GRATIOT AVE",
            "address_2": "SUITE 101",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482052307",
            "telephone_number": "313-526-7577",
            "fax_number": "313-526-7587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRIENDLY NEIGHBORHOOD MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-21",
        "last_updated": "2008-10-09",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-530-5884",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Fridley
• Russell Brian Fridson, DO
• Rachel Megan Friedel, MS
• Ben Jacob Friedman, MD
• Amy Friend, M.ED., BCBA, LBA
• Friendly Neighborhood Medical Clinic II
• Friendly Visiting Physicians PC
• Friends of Detroit & Tri Counties
• Friendship Manor Nursing Home
• Friendship Manor Nursing Home

• 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 Oct 9, 2008; 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.