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EAST PARK MEDICAL CENTER
NPI 1053462846
Family Medicine in Detroit, MI

Active since January 16, 2007
4821 MCNICHOLS ST, DETROIT, MI 48212(313) 368-4600(313) 368-4700 Get Directions Write a Review

NPPES record last updated: May 20, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About East Park Medical Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EAST PARK MEDICAL CENTER (NPI 1053462846) is a healthcare organization registered as a family medicine in Detroit, Michigan and active in the NPI registry since January 2007. The organization lists Sai Wentum, Ceo, as its authorized official.

NPPES Registry Identity

NPI1053462846
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCASCOR HEALTH SYSTEMS PC
Location Address4821 MCNICHOLS STDetroit, MI 48212-1730
Mailing Address4821 Mcnichols StDetroit, MI 48212-1730 · (313) 368-4600 · Fax (313) 368-4700
Phone(313) 368-4600
Fax(313) 368-4700
Organization SubpartNo
Authorized OfficialSai WentumCeo · (313) 368-4600
Enumeration DateJanuary 16, 2007
Last NPPES UpdateMay 20, 2011
✔ NPI 1053462846 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · 049430
Definition
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.
4821 MCNICHOLS ST, Detroit, MI 48212
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Other Names 1

Doing Business AsEast Park Medical Center

Other Identifiers 3

Medicaid4529149MI
Medicare UPINA77195MI
Medicare ID-Type Unspecified0P06500MI

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cascor Health Systems PC's NPI number?

The NPI number for Cascor Health Systems PC is 1053462846. It was assigned to this organization in the NPPES registry on January 16, 2007. The provider is doing business as East Park Medical Center.

Where is Cascor Health Systems PC located?

Cascor Health Systems PC is located at 4821 Mcnichols St, Detroit, MI 48212. The listed phone number is (313) 368-4600.

What is Cascor Health Systems PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Cascor Health Systems PC was last updated on May 20, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.