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ADVANCED PHYSICIAN GROUP PLLC
NPI 1083019848
General Practice in Dearborn, MI

Active since October 22, 2014
13530 MICHIGAN AVE, SUITE 400, DEARBORN, MI 48126(313) 945-9800(314) 667-6915 Get Directions Write a Review

NPPES record last updated: October 22, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Advanced Physician Group Pllc NPPES

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

ADVANCED PHYSICIAN GROUP PLLC (NPI 1083019848) is a healthcare organization registered as a general practice in Dearborn, Michigan and active in the NPI registry since October 2014. The organization lists Melanie Maycock, Billing Director, as its authorized official.

NPPES Registry Identity

NPI1083019848
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameADVANCED PHYSICIAN GROUP PLLC
Location Address13530 MICHIGAN AVE, SUITE 400Dearborn, MI 48126-3574
Mailing Address13530 Michigan Ave, Suite 400Dearborn, MI 48126-3574 · (313) 945-9800 · Fax (314) 667-6915
Phone(313) 945-9800
Fax(314) 667-6915
Organization SubpartNo
Authorized OfficialMelanie MaycockBilling Director · (734) 673-5917
Enumeration DateOctober 22, 2014
✔ NPI 1083019848 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
13530 MICHIGAN AVE, Dearborn, MI 48126
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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

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FATINA MASRI MD
General Practice
13530 MICHIGAN AVE, SUITE 150
DEARBORN, MI 48126
Wayne County (313) 945-9800
ADVANCE URGENT CARE PC
Clinic/Center (Urgent Care)
13530 MICHIGAN AVE
DEARBORN, MI 48126
Wayne County (734) 673-5917
JOHN EDWARD MORAN O.D.
Optometrist
13530 MICHIGAN AVE
DEARBORN, MI 48126
Wayne County (313) 827-0779
MICHIGAN MEDICAL SERVICES PLLC
Internal Medicine
13530 MICHIGAN AVE
DEARBORN, MI 48126
Wayne County (313) 945-0075
NEXTGEN REHAB LLC
Pain Medicine (Interventional Pain Medicine)
13530 MICHIGAN AVE, SUITE 310
DEARBORN, MI 48126
Wayne County (586) 277-5985
FIVE STAR HOME HEALTH CARE, LLC
Home Health
13530 MICHIGAN AVE, STE 328
DEARBORN, MI 48126
Wayne County (313) 846-9500
SAMANTHA EL-KHATIB OD
Optometrist
13530 MICHIGAN AVE
DEARBORN, MI 48126
Wayne County (313) 827-0779
MICHIGAN SLEEP LAB
Clinic/Center (Sleep Disorder Diagnostic)
13530 MICHIGAN AVE, SUITE 130
DEARBORN, MI 48126
Wayne County (313) 945-6966

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 Advanced Physician Group PLLC's NPI number?

The NPI number for Advanced Physician Group PLLC is 1083019848. It was assigned to this organization in the NPPES registry on October 22, 2014.

Where is Advanced Physician Group PLLC located?

Advanced Physician Group PLLC is located at 13530 Michigan Ave Suite 400, Dearborn, MI 48126. The listed phone number is (313) 945-9800.

What is Advanced Physician Group PLLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Advanced Physician Group PLLC was last updated on October 22, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.