PRIMARY CARE PHYSICIANS IV, P.C.
NPI 1912224148
Internal Medicine in Eastpointe, MI

Active since April 28, 2010
21331 KELLY RD, EASTPOINTE, MI 48021(586) 498-8922(586) 498-8935 Get Directions Write a Review

NPPES record last updated: April 28, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Internal Medicine

About PRIMARY CARE PHYSICIANS IV, P.C.

This page provides the complete NPI Profile along with additional information for Primary Care Physicians Iv, P.c., an internist established in Eastpointe, Michigan operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1912224148 assigned on April 2010. The practitioner's primary taxonomy code is 207R00000X. The provider is registered as an organization and their NPI record was last updated 16 years ago. Primary Care Physicians Iv, P.c. operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Yvonne Gibson (Director Of Operations)

NPI
1912224148 Verify this NPI
Provider Name
PRIMARY CARE PHYSICIANS IV, P.C.
Entity Type
Organization
Location Address
21331 KELLY RD EASTPOINTE, MI 48021
Location Phone
(586) 498-8922
Location Fax
(586) 498-8935
Mailing Address
21331 KELLY RD EASTPOINTE, MI 48021
Mailing Phone
(586) 498-8922
Mailing Fax
(586) 498-8935
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-28-2010
Last Update Date
04-28-2010
Code Navigator

An internist like Primary Care Physicians Iv, P.c. is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

 
2208000000XAllopathic & Osteopathic Physicians

Pediatrics

 
3208D00000XAllopathic & Osteopathic Physicians

General Practice

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

YVONNE GIBSON

Authorized Official Title
DIRECTOR OF OPERATIONS
Authorized Official Phone
(586) 498-8922

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Dentist (General Practice)
21331 KELLY RD, SUITE 120
EASTPOINTE, MI 48021
Specialist
21331 KELLY RD
EASTPOINTE, MI 48021
Internal Medicine
21331 KELLY RD
EASTPOINTE, MI 48021
Internal Medicine
21331 KELLY RD
EASTPOINTE, MI 48021
Specialist
21331 KELLY RD
EASTPOINTE, MI 48021
Public Health or Welfare
21331 KELLY RD
EASTPOINTE, MI 48021
Clinic/Center (Physical Therapy)
21331 KELLY RD, STE 140A
EASTPOINTE, MI 48021
Physical Therapist
21331 KELLY RD
EASTPOINTE, MI 48021
Family Medicine
21331 KELLY RD, SUITE 120
EASTPOINTE, MI 48021
Peer Specialist
21331 KELLY RD
EASTPOINTE, MI 48021
Case Manager/Care Coordinator
21331 KELLY RD
EASTPOINTE, MI 48021
Case Manager/Care Coordinator
21331 KELLY RD
EASTPOINTE, MI 48021
Social Worker (Clinical)
21331 KELLY RD
EASTPOINTE, MI 48021
Counselor (Mental Health)
21331 KELLY RD
EASTPOINTE, MI 48021
Social Worker
21331 KELLY RD
EASTPOINTE, MI 48021
Peer Specialist
21331 KELLY RD
EASTPOINTE, MI 48021
Community/Behavioral Health
21331 KELLY RD
EASTPOINTE, MI 48021
Social Worker (Clinical)
21331 KELLY RD
EASTPOINTE, MI 48021
Peer Specialist
21331 KELLY RD
EASTPOINTE, MI 48021
Counselor (Mental Health)
21331 KELLY RD
EASTPOINTE, MI 48021

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1912224148, enumerated as an "organization" on April 28, 2010.

The provider is located at 21331 KELLY RD EASTPOINTE, MI 48021 and the phone number is (586) 498-8922.

Internal Medicine with taxonomy code 207R00000X.