PURE HEALTH OF MICHIGAN
NPI 1891405031
Family Medicine in Southfield, MI

Active since November 29, 2022
17800 NORTHLAND PARK CT, SOUTHFIELD, MI 48075(248) 233-4076(248) 233-4079 Get Directions Write a Review

NPPES record last updated: December 26, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 26, 2022, Dec 19, 2022, Nov 29, 2022 (3 updates tracked since 2022).

About Pure Health Of Michigan NPPES

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

PURE HEALTH OF MICHIGAN (NPI 1891405031) is a healthcare organization registered as a family medicine in Southfield, Michigan and active in the NPI registry since November 2022. The organization lists Antoine Tucker, Office Director, as its authorized official.

NPPES Registry Identity

NPI1891405031
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePURE HEALTH OF MICHIGAN
Location Address17800 NORTHLAND PARK CTSouthfield, MI 48075-4304
Mailing Address17800 Northland Park CtSouthfield, MI 48075-4304 · (248) 233-4076 · Fax (248) 233-4079
Fax(248) 233-4079
Organization SubpartNo
Authorized OfficialAntoine TuckerOffice Director · (248) 233-4076
Enumeration DateNovember 29, 2022
Last NPPES UpdateDecember 26, 20223 updates tracked since enumeration
NPPES CertifiedDecember 26, 2022
NPI 1891405031 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.
17800 NORTHLAND PARK CT, Southfield, MI 48075

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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

Nursing Care
17800 NORTHLAND PARK CT, SUITE 105
SOUTHFIELD, MI 48075

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 Pure Health Of Michigan's NPI number?

The NPI number for Pure Health Of Michigan is 1891405031. It was assigned to this organization in the NPPES registry on November 29, 2022.

Where is Pure Health Of Michigan located?

Pure Health Of Michigan is located at 17800 Northland Park Ct, Southfield, MI 48075. The listed phone number is (248) 233-4076.

What is Pure Health Of Michigan's specialty?

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

When was this NPI record last updated?

The NPPES record for Pure Health Of Michigan was last updated on December 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.