WESTERN WAYNE PHYSICIANS, PLC
NPI 1629263520
Family Medicine in Allen Park, MI

Active since September 13, 2007CLIA 23D0712306 · Waiver
7445 ALLEN RD, SUITE 250, ALLEN PARK, MI 48101(313) 386-5500(313) 386-3444 Get Directions Write a Review

NPPES record last updated: March 18, 2008. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Western Wayne Physicians, Plc NPPES

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

WESTERN WAYNE PHYSICIANS, PLC (NPI 1629263520) is a healthcare organization registered as a family medicine in Allen Park, Michigan and active in the NPI registry since September 2007. The organization holds a CLIA Waiver certificate valid through January 5, 2027 and lists Robert J Jackson, Owner / Secretary, as its authorized official.

NPPES Registry Identity

NPI1629263520
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameWESTERN WAYNE FAMILY PHYSICIANS, PLC
Location Address7445 ALLEN RD, SUITE 250Allen Park, MI 48101-1963
Mailing Address7445 Allen Rd, Suite 250Allen Park, MI 48101-1963 · (313) 386-5500 · Fax (313) 386-3444
Fax(313) 386-3444
Organization SubpartNo
Authorized OfficialRobert J JacksonOwner / Secretary · (313) 386-5500
Enumeration DateSeptember 13, 2007
Last NPPES UpdateMarch 18, 2008
NPI 1629263520 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
7445 ALLEN RD, Allen Park, MI 48101

Other Names 1

Doing Business AsWestern Wayne Physicians, Plc

Other Identifiers 12

Medicare PIN0P30370MI
Medicaid4172611MI
Medicaid4545053MI
Medicaid3506382MI
Medicare PIN0M27560MI
Medicaid4281910MI
OtherCD8151MI · Railroad Medicare
OtherCC4542MI · Railroad Medicare
Medicaid4172620MI
OtherCG3535MI · Railroad Medicare
Medicaid4545062MI
Medicaid4572954MI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D0712306

Western Wayne Physicians Plc · Allen Park, MI
Active · expires Jan 5, 2027
CLIA Number23D0712306
Laboratory TypePhysician Office
Certificate Effective DateJanuary 6, 2025
Certificate Expiration DateJanuary 5, 2027
Laboratory DirectorRobert J. Jackson
Laboratory Phone(313) 386-5500
Laboratory LocationWestern Wayne Physicians Plc8338 Allen Road Suite 101, Allen Park, MI 48101
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

General Practice
7445 ALLEN RD, SUITE 190
ALLEN PARK, MI 48101
Dietitian, Registered
7445 ALLEN RD, SUITE 210
ALLEN PARK, MI 48101
Physician Assistant
7445 ALLEN RD, SUITE 280
ALLEN PARK, MI 48101
Public Health or Welfare
7445 ALLEN RD, 124
ALLEN PARK, MI 48101
Family Medicine
7445 ALLEN RD, SUITE 250
ALLEN PARK, MI 48101
Nurse Practitioner (Family)
7445 ALLEN RD
ALLEN PARK, MI 48101
Obstetrics & Gynecology
7445 ALLEN RD, SUITE 180
ALLEN PARK, MI 48101
Podiatrist
7445 ALLEN RD, SUITE 280
ALLEN PARK, MI 48101

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 Western Wayne Family Physicians, Plc's NPI number?

The NPI number for Western Wayne Family Physicians, Plc is 1629263520. It was assigned to this organization in the NPPES registry on September 13, 2007. The provider is doing business as Western Wayne Physicians, Plc.

Where is Western Wayne Family Physicians, Plc located?

Western Wayne Family Physicians, Plc is located at 7445 Allen Rd Suite 250, Allen Park, MI 48101. The listed phone number is (313) 386-5500.

What is Western Wayne Family Physicians, Plc's specialty?

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

Does Western Wayne Family Physicians, Plc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D0712306) is associated with this NPI, valid through January 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Western Wayne Family Physicians, Plc accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Western Wayne Family Physicians, Plc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Western Wayne Family Physicians, Plc was last updated on March 18, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.