Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Family Medicine PC

Q: What type of organization is Family Medicine PC?

Family Medicine PC is registered in NPPES as a Family Medicine Physician (its primary provider taxonomy).

Family Medicine Physician in Southfield, MI · enumerated 2006 · authorized official Rodrigo Tobar, Secretary/Treasurer.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1417921628

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Registry record

Entity type Organization (Type 2)

Legal business name Family Medicine PC

Practice address 29255 Northwestern Hwy, Suite 203, Southfield, MI, 48034

Phone (248) 557-0535

Fax (248) 557-6145

Enumeration date Feb 14, 2006

Last updated in NPPES Jan 18, 2012

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License RT008998 (MI) Primary

Authorized official

Name Rodrigo Tobar

Title Secretary/Treasurer

Phone (248) 557-0535

Other identifiers

Identifier	Type	State	Issuer
5630421	Other	MI	PIN NUMBER
008750	Other	MI	DETROIT MEDICAL CENTER
0638787	Other	MI	PIN NUMBER
080165831	Other	MI	PALMETTO GBA
2691080	Medicaid	MI	-
080F364760	Other	MI	BCBS

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

What type of organization is Family Medicine PC?

Family Medicine PC is registered in NPPES as a Family Medicine Physician (its primary provider taxonomy).

Providers at this address

Browse all →

Marie-Jeanne Monde-Matthews Pediatrics Physician · Southfield, MI NPI 1568460152 Pamela Berry Pediatrics Physician · Southfield, MI NPI 1811995491 My Kids Doc-Southfield Pediatric Adolescent Medicine Physician · Southfield, MI NPI 1730187840 Sharon Tice Pediatrics Physician · Southfield, MI NPI 1831177526 Michael Fahmy Physical Therapist · Southfield, MI NPI 1689605248 Dionne Dickerson Obstetrics & Gynecology Physician · Southfield, MI NPI 1578579652 Nicole Metcalfe Obstetrics & Gynecology Physician · Southfield, MI NPI 1902812092 Gwendolyn Washington Family Medicine Physician · Southfield, MI NPI 1689772188

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-01-18.