PLYMOUTH CANTON FAMILY HEALTH CARE PC NPI 1518095850

NPI Information

  • NPI: 1518095850
  • Provider Name: PLYMOUTH CANTON FAMILY HEALTH CARE PC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • CLIA Number: 23D1088915
  • Address: 44633 JOY RD STE 100
    CANTON, MI
    ZIP 48187
  • Phone: (734) 453-5360

Map and Directions

Get Directions

NPI Details

PLYMOUTH CANTON FAMILY HEALTH CARE PC is a family medicine in Canton, 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. PLYMOUTH CANTON FAMILY HEALTH CARE PC NPI is 1518095850. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

44633 JOY RD STE 100
CANTON, MI
ZIP 48187-731
Phone: (734) 453-5360
Fax: (734) 453-5380

The provider's authorized official is Jerome Bekker .
The authorized official title is Physician and has the following contact phone number (734) 453-5360.

The CLIA number assigned to this NPI record is 23D1088915 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/28/2007 and was last updated on 2/17/2011.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineJB010278MICHIGANYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10P14720MEDICARE ID-TYPE UNSPECIFIEDMICHIGAN
2F05093MEDICARE UPINMICHIGAN
3114731255MEDICAIDMICHIGAN

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: 11/21/2025

NPI Synchronization or Removal

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.

Previous NPI
Next NPI