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MMG 1 PC NPI 1912933540


NPI Information

NPI: 1912933540
Provider Name: MMG 1 PC

Doing Business As: MILLENIUM DIAGNOSTIC CENTER

Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
32255 NORTHWESTERN HWY STE 100
FARMINGTON HILLS, MI
ZIP 48334
Phone: (248) 945-0000
Get Directions

MMG 1 PC is an internal medicine in Farmington Hills, MI. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. MMG 1 PC NPI is 1912933540. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Millenium Diagnostic Center.

The provider's business location address is:

32255 NORTHWESTERN HWY STE 100
FARMINGTON HILLS, MI
ZIP 48334-573
Phone: (248) 945-0000
Fax: (248) 945-1819

The provider's authorized official is Geoffrey A. Trivax .
The authorized official title is President and has the following contact phone number (248) 851-1430.

The enumeration date for this NPI number is 6/24/2006 and was last updated on 12/23/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineNo
2207R00000XInternal MedicineYes
3207RC0000XInternal MedicineCardiovascular DiseaseNo
4207RH0003XInternal MedicineHematology & OncologyNo
5207RM1200XInternal MedicineMagnetic Resonance Imaging (MRI)No
6207UN0901XNuclear MedicineNuclear CardiologyNo
7208100000XPhysical Medicine & RehabilitationNo
82084N0400XPsychiatry & NeurologyNeurologyNo
92085R0202XRadiologyDiagnostic RadiologyNo
102085U0001XRadiologyDiagnostic UltrasoundNo
11208D00000XGeneral PracticeNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1DD1976OTHERMICHIGANMEDICARE IS TYPE UNSPECIFIED
21912933540MEDICAIDMICHIGAN
3CH5573OTHERMICHIGANMEDICARE ID TYPE UNSPECIFIED
4CJ8411OTHERMICHIGANMEDICARE ID TYPE UNSPECIFIED
5CG6178OTHERMICHIGANMEDICARE ID TYPE UNSPECIFIED
6DA4193OTHERMICHIGANMEDICARE ID TYPE UNSPECIFIED
7700F314390OTHERMICHIGANBLUE SHIELD GROUP
80M96210OTHERMICHIGANMEDICARE PTAN
9CF9345OTHERMICHIGANMEDICARE IS TYPE UNSPECIFIED

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.