Active NPI
North Clinic, P.C.
Doing business as Peter H. Gaggos, D.O.
- Family Medicine Physician
- Detroit, MI
National Provider Identifier
1992033864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- NORTH CLINIC, P.C.
- Doing business as
- Peter H. Gaggos, D.O.
- Practice address
- 20041 West Eight Mile Road
North Clinic, P.C.
Detroit, MI 48219 - Phone
- (313) 532-5030
- Fax
- (313) 532-0552
- NPI assigned
- Dec 3, 2009
- Last updated
- Dec 2, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Peter H. Gaggos, D.O.
- Title
- President
- Phone
- (313) 532-5030
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
20041 West Eight Mile Road
North Clinic, P.C.
Detroit, MI 48219
Mailing address
20041 West Eight Mile Road
North Clinic, P.C.
Detroit, MI 48219
Phone (313) 532-5030
Other names 1
- Peter H. Gaggos, D.O.
National Provider Directory
National Provider DirectoryLocations
20041 W 8 Mile Rd
Detroit, MI 48219
Phone (313) 532-5030
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1259798400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1291248000000",
"number": "1992033864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20041 WEST EIGHT MILE ROAD",
"address_2": "NORTH CLINIC, P.C.",
"city": "DETROIT",
"state": "MI",
"postal_code": "48219",
"telephone_number": "313-532-5030",
"fax_number": "313-532-0552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20041 WEST EIGHT MILE ROAD",
"address_2": "NORTH CLINIC, P.C.",
"city": "DETROIT",
"state": "MI",
"postal_code": "48219",
"telephone_number": "313-532-5030",
"fax_number": "313-532-0552"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH CLINIC, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2009-12-03",
"last_updated": "2010-12-02",
"status": "A",
"authorized_official_last_name": "GAGGOS",
"authorized_official_first_name": "PETER",
"authorized_official_middle_name": "H.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "313-532-5030",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Peter H. Gaggos, D.O.",
"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 Dec 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.