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PARK PLACE FAMILY PRACTICE & INTERNAL MEDICINE
NPI 1891307443
Internal Medicine in Taylor, MI

Active since August 17, 2020
12701 TELEGRAPH RD STE 103, TAYLOR, MI 48180(734) 374-0500(734) 374-2415 Get Directions Write a Review

NPPES record last updated: July 21, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2021, Sep 3, 2020, Aug 17, 2020 (3 updates tracked since 2020).

About Park Place Family Practice & Internal Medicine NPPES

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

PARK PLACE FAMILY PRACTICE & INTERNAL MEDICINE (NPI 1891307443) is a healthcare organization registered as an internal medicine in Taylor, Michigan and active in the NPI registry since August 2020. The organization lists Susan Goswami, Office Admin, as its authorized official.

NPPES Registry Identity

NPI1891307443
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePARK PLACE FAMILY PRACTICE & INTERNAL MEDICINE
Location Address12701 TELEGRAPH RD STE 103Taylor, MI 48180-4087
Mailing Address12701 Telegraph Rd Ste 103Taylor, MI 48180-4087 · (734) 374-0500 · Fax (734) 374-2415
Phone(734) 374-0500
Fax(734) 374-2415
Organization SubpartNo
Authorized OfficialSusan GoswamiOffice Admin · (734) 374-0500
Enumeration DateAugust 17, 2020
Last NPPES UpdateJuly 21, 20213 updates tracked since enumeration
NPPES CertifiedJuly 21, 2021
✔ NPI 1891307443 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedFamily MedicineTaxonomy 207Q00000X
12701 TELEGRAPH RD STE 103, Taylor, MI 48180
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Other Identifiers 2

Medicaid1891307443MI
OtherOH62264MI · Bcbsm Pin

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Other Providers at the Same Location NPPES 2

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

LEAH KRISTINE AMOROSE DNP, RN, FNP-BC
Nurse Practitioner (Family)
12701 TELEGRAPH RD STE 103
TAYLOR, MI 48180
Wayne County (734) 374-0500
NSREEN ARBID
Nurse Practitioner (Primary Care)
12701 TELEGRAPH RD STE 103
TAYLOR, MI 48180
Wayne County (734) 374-0500

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 Park Place Family Practice & Internal Medicine's NPI number?

The NPI number for Park Place Family Practice & Internal Medicine is 1891307443. It was assigned to this organization in the NPPES registry on August 17, 2020.

Where is Park Place Family Practice & Internal Medicine located?

Park Place Family Practice & Internal Medicine is located at 12701 Telegraph Rd Ste 103, Taylor, MI 48180. The listed phone number is (734) 374-0500.

What is Park Place Family Practice & Internal Medicine's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

What insurance does Park Place Family Practice & Internal Medicine 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 Park Place Family Practice & Internal Medicine 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 Park Place Family Practice & Internal Medicine was last updated on July 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.