PREFERRED MEDICAL SERVICES PLLC NPI 1609699842

NPI Information

  • NPI: 1609699842
  • Provider Name: PREFERRED MEDICAL SERVICES PLLC
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Organization
  • Address: 5575 CONNER ST STE 203
    DETROIT, MI
    ZIP 48213
  • Phone: (313) 305-4210

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NPI Details

PREFERRED MEDICAL SERVICES PLLC is a medical physician assistant in Detroit, MI. PREFERRED MEDICAL SERVICES PLLC NPI is 1609699842. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5575 CONNER ST STE 203
DETROIT, MI
ZIP 48213-401
Phone: (313) 305-4210
Fax: (313) 305-7336

The provider's authorized official is Rocelious Goodson .
The authorized official title is Organizer and has the following contact phone number (313) 305-4210.

The enumeration date for this NPI number is 11/6/2024 and was last updated on 1/23/2025.

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
1363AM0700XPhysician AssistantMedicalYes

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

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