ANDREW J SMITH JR MD MEMORIAL GROUP
NPI 1336362532
Specialist in Southfield, MI

Active since April 10, 2007
23077 GREENFIELD RD, STE 200, SOUTHFIELD, MI 48075(248) 424-8888 Get Directions Write a Review

NPPES record last updated: March 6, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Andrew J Smith Jr Md Memorial Group NPPES

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

ANDREW J SMITH JR MD MEMORIAL GROUP (NPI 1336362532) is a healthcare organization registered as a specialist in Southfield, Michigan and active in the NPI registry since April 2007. The organization lists J Gwendolyn Gordon, Md, as its authorized official.

NPPES Registry Identity

NPI1336362532
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameANDREW J SMITH JR MD MEMORIAL GROUP
Location Address23077 GREENFIELD RD, STE 200Southfield, MI 48075-3709
Mailing Address23077 Greenfield Rd, Ste 200Southfield, MI 48075-3709
Organization SubpartNo
Authorized OfficialJ Gwendolyn GordonMd · (248) 424-8888
Enumeration DateApril 10, 2007
Last NPPES UpdateMarch 6, 2009
NPI 1336362532 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Licenses Licensed in MI · JG023085 Licensed in MI · EC066609
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

23077 GREENFIELD RD, Southfield, MI 48075

Other Identifiers 5

Medicaid451303110MI
Medicare UPINH05380MI
Medicare UPINF13218MI
Medicare ID-Type UnspecifiedON15220MI
Medicaid450374110MI

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.

Surgery
23077 GREENFIELD RD, SUITE 445
SOUTHFIELD, MI 48075
Dentist
23077 GREENFIELD RD, SUITE 350
SOUTHFIELD, MI 48075
Pediatrics
23077 GREENFIELD RD, SUITE 253
SOUTHFIELD, MI 48075
Ophthalmology
23077 GREENFIELD RD, 144
SOUTHFIELD, MI 48075
Dentist (General Practice)
23077 GREENFIELD RD, SUITE 210
SOUTHFIELD, MI 48075
Family Medicine
23077 GREENFIELD RD, SUITE 195
SOUTHFIELD, MI 48075
Dentist (General Practice)
23077 GREENFIELD RD, SUITE 290
SOUTHFIELD, MI 48075
Physical Therapist
23077 GREENFIELD RD, STE 250
SOUTHFIELD, MI 48075

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336362532, enumerated as an "organization" on April 10, 2007.

The provider is located at 23077 GREENFIELD RD STE 200 SOUTHFIELD, MI 48075 and the phone number is (248) 424-8888.

Specialist with taxonomy code 174400000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.