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UNIVERSITY PHYSICIAN GROUP NPI 1447299797


NPI Information

NPI: 1447299797
Provider Name: UNIVERSITY PHYSICIAN GROUP

Doing Business As: WAYNE STATE UNIVERSITY PHYSICIAN GROUP

Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
4201 ST. ANTOINE ST.
DETROIT, MI
ZIP 48201
Phone: (313) 745-4525
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UNIVERSITY PHYSICIAN GROUP is an internal medicine in Detroit, 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. UNIVERSITY PHYSICIAN GROUP NPI is 1447299797. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Wayne State University Physician Group.

The provider's business location address is:

4201 ST. ANTOINE ST.
DETROIT, MI
ZIP 48201
Phone: (313) 745-4525

The provider's authorized official is Mark Juzych .
The authorized official title is President & Ceo, Wayne Health and has the following contact phone number (313) 448-9006.

The enumeration date for this NPI number is 6/5/2006 and was last updated on 10/17/2022.


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
1204F00000XTransplant SurgeryNo
2207K00000XAllergy & ImmunologyNo
3207L00000XAnesthesiologyNo
4207N00000XDermatologyNo
5207P00000XEmergency MedicineNo
6207Q00000XFamily MedicineNo
7207SG0201XMedical GeneticsClinical Genetics (M.D.)No
8207T00000XNeurological SurgeryNo
9207V00000XObstetrics & GynecologyNo
10207W00000XOphthalmologyNo
11207X00000XOrthopaedic SurgeryNo
12207Y00000XOtolaryngologyNo
13207ZP0102XPathologyAnatomic Pathology & Clinical PathologyNo
14208000000XPediatricsNo
15207R00000XInternal 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
123D0685178OTHERMICHIGANCLIA COMPLIANCE DERM
223D0913773OTHERMICHIGANCLIA - MICROSCOPY OBGYN
323D1080033OTHERMICHIGANCLIA - MICROSCOPY FAM MED
423D1086626OTHERMICHIGANCLIA - WAIVER OTO
523D1091632OTHERMICHIGANCLIA WAIVER
623D1096986OTHERMICHIGANCLIA MICROSCOPY
723D0701622OTHERMICHIGANCLIA - PPM (MODERATE COMPLEXITY)
823D1040688OTHERMICHIGANCLIA - MICROSCOPY UROLOGY
923D2054540OTHERMICHIGANCLIA REGISTRATION (HIGH COMPLEXITY)
100P30630OTHERMICHIGANMEDICARE GROUP #
1123D1019738OTHERMICHIGANCLIA - MICROSCOPY INT MED
120P32120OTHERMICHIGANMEDICARE GROUP # - MD/DO FEE LOCALITY 99
1323D0650703OTHERMICHIGANCLIA COMPLIANCE DERM
140H22832OTHERMICHIGANBCBSM GROUP NUMBER
1523D0701623OTHERMICHIGANCLIA - MICROSCOPY INT MED
1623D1065430OTHERMICHIGANCLIA - WAIVER OTO
1723D2028433OTHERMICHIGANCLIA - MICROSCOPY FAM MED

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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