North Clinic, P.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

NORTH CLINIC, P.C.

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

Organization subpart

No

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

Addresses

Other identifiers 1

Other names 1

• Peter H. Gaggos, D.O. Doing business as

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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1025621",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peter H. Gaggos, D.O.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brandon Lee Norris
• Gregory M Norris, MD
• Laurie Ann Norris, PT,DPT,MTC
• Lisa Lynn Norris, FNP
• Wanda Novel Norris, MD
• North East Guidance Center
• North Medical Clinic P C
• Jeanette Eileen North, LLPC
• Wayne Trevor, J North, MD
• Northeast Guidance Center

• 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 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.

Verify at the official NPI Registry.