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NEW HORIZONS MEDICAL CENTER PC NPI 1083762793


NPI Information

NPI: 1083762793
Provider Name: NEW HORIZONS MEDICAL CENTER, PC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 23D0929051

Address:
19335 MERRIMAN RD
LIVONIA, MI
ZIP 48152
Phone: (248) 474-4900
Get Directions

NEW HORIZONS MEDICAL CENTER, PC is a family medicine in Livonia, MI. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. NEW HORIZONS MEDICAL CENTER, PC NPI is 1083762793. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

19335 MERRIMAN RD
LIVONIA, MI
ZIP 48152-754
Phone: (248) 474-4900

The provider's authorized official is Sean Patrick Coyle .
The authorized official title is President and has the following contact phone number (248) 474-4900.

The CLIA number assigned to this NPI record is 23D0929051 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/8/2007 and was last updated on 6/30/2014.


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
1207VG0400XObstetrics & GynecologyGynecologyNo
2208C00000XColon & Rectal SurgeryNo
3207R00000XInternal MedicineNo
4207Q00000XFamily MedicineYes

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
1080H24860OTHERMICHIGANBLUE CROSS BLUE SHIELD
20N52520MEDICARE ID-TYPE UNSPECIFIEDMICHIGANMEDICARE
3=========OTHERMICHIGANPPOM

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

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