TRANSFORMATION MEDICAL SERVICES, PC
NPI 1689942682
Family Medicine - Adult Medicine in Southfield, MI

Active since December 05, 2011
21415 CIVIC CENTER DR, SUITE 111, SOUTHFIELD, MI 48076(248) 356-1111 Get Directions Write a Review

NPPES record last updated: December 5, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Transformation Medical Services, Pc NPPES

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

TRANSFORMATION MEDICAL SERVICES, PC (NPI 1689942682) is a healthcare organization registered as an adult medicine in Southfield, Michigan and active in the NPI registry since December 2011. The organization lists Addison Reede Tarr, President And Ceo, as its authorized official.

NPPES Registry Identity

NPI1689942682
Entity TypeOrganization
Primary Taxonomy207QA0505X
Legal Business NameTRANSFORMATION MEDICAL SERVICES, PC
Location Address21415 CIVIC CENTER DR, SUITE 111Southfield, MI 48076-3909
Mailing Address21415 Civic Center Dr, Suite 111Southfield, MI 48076-3909 · (248) 356-1111
Organization SubpartNo
Authorized OfficialAddison Reede TarrPresident And Ceo · (714) 225-8665
Enumeration DateDecember 5, 2011
NPI 1689942682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
License Licensed in MI · 5101015861
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
Also ListedEmergency Medicine · Emergency Medical ServicesTaxonomy 207PE0004X · License 5101015861 (MI)
21415 CIVIC CENTER DR, Southfield, MI 48076

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 7

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

Home Health
21415 CIVIC CENTER DR, SUITE 212
SOUTHFIELD, MI 48076
Home Health
21415 CIVIC CENTER DR, SUITE 122
SOUTHFIELD, MI 48076
Anesthesiology
21415 CIVIC CENTER DR
SOUTHFIELD, MI 48076
Physical Therapist
21415 CIVIC CENTER DR, SUITE # 115
SOUTHFIELD, MI 48076
Nurse Practitioner (Family)
21415 CIVIC CENTER DR, STE 355
SOUTHFIELD, MI 48076
Internal Medicine
21415 CIVIC CENTER DR, SUITE 215
SOUTHFIELD, MI 48076
Nurse Practitioner (Gerontology)
21415 CIVIC CENTER DR, #355
SOUTHFIELD, MI 48076

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 Transformation Medical Services, PC's NPI number?

The NPI number for Transformation Medical Services, PC is 1689942682. It was assigned to this organization in the NPPES registry on December 5, 2011.

Where is Transformation Medical Services, PC located?

Transformation Medical Services, PC is located at 21415 Civic Center Dr Suite 111, Southfield, MI 48076. The listed phone number is (248) 356-1111.

What is Transformation Medical Services, PC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

When was this NPI record last updated?

The NPPES record for Transformation Medical Services, PC was last updated on December 5, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.