Organization Active NPI

Plymouth Canton Family Physicians PC

  • Family Medicine Physician
  • Plymouth, MI
National Provider Identifier
1992833990
Registry record updated Aug 31, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
AR056622 Issued in MI
Legal business name
PLYMOUTH CANTON FAMILY PHYSICIANS PC
Practice address
261 S Main St
Plymouth, MI 48170-1637
Phone
(734) 453-9500
Fax
(734) 453-9501
NPI assigned
Mar 1, 2007
Last updated
Aug 31, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2010

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

Authorized official

Name
Mr. Andrew Rubenstein, MDNPI 1164488276
Title
Physician
Phone
(734) 453-9500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X AR056622 MI Primary

Addresses

Primary practice location

261 S Main St
Plymouth, MI 48170-1637

Mailing address

261 S Main St
Plymouth, MI 48170-1637
Phone (734) 453-9500

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283212800000",
    "number": "1992833990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 S MAIN ST",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481701637",
            "telephone_number": "734-453-9500",
            "fax_number": "734-453-9501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 S MAIN ST",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481701637",
            "telephone_number": "734-453-9500",
            "fax_number": "734-453-9501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLYMOUTH CANTON FAMILY PHYSICIANS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2010-08-31",
        "status": "A",
        "authorized_official_last_name": "RUBENSTEIN",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "734-453-9500",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "AR056622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.