NPPES file of Aug 9, 2026

Hazel Park Primary Care LLC in Hazel Park, MI

This organization bills under NPI 1306407440, an organization record issued on Jun 27, 2019 with the primary taxonomy Family Medicine Physician. Each clinician who works there has their own NPI and license.

CMS NPPES registry, file of Aug 9, 2026 · method · Verify with CMS →

Organization recordNPPES, Aug 2026
1306407440
Legal name
Hazel Park Primary Care LLC
Entity
Type 2 · organization
Primary taxonomy
Family Medicine Physician 207Q00000X
Practice location
624 E 9 MILE RD STE B, Hazel Park, MI 48030
Phone
248-629-7497
Enumerated
Jun 27, 2019
Record updated
Aug 14, 2023
Authorized official
President (title as filed)
Public record from the NPPES NPI Registry (open it on CMS). An NPI identifies who bills; it is not a facility license.

5 clinicians CMS lists with Hazel Park Primary Care in Hazel Park

  1. Mary Hicks, NPNurse Practitioner1811415474
  2. Lisa Ng, PA-CPhysician Assistant1962173625
  3. Anxhi Pavliqoti, PAPhysician Assistant1568288454
  4. Mohamed Saleh, MD,DCFamily Medicine Physician1861566598
  5. Marcos Yassa, PA-CPhysician Assistant1952899742

Source: CMS Doctors and Clinicians group affiliations, matched by practice name and city.

Checking an organization

  1. Confirm the business with the Michigan secretary of state.
  2. Check the HHS-OIG exclusion list for the organization.
  3. Verify each clinician on their own record and the state license search.

All taxonomies on this record

  • 111N00000X Chiropractor
  • 207Q00000X Family Medicine Physician
  • 2083A0300X Addiction Medicine (Preventive Medicine) Physician

Common questions

Is an organization NPI a license?

No. An NPI identifies who bills. Facilities and the clinicians who work there are licensed separately by the state.

Source: CMS National Plan and Provider Enumeration System (NPPES), monthly file of Aug 9, 2026 (NPPES files on CMS.gov). An NPI identifies who bills; it is not a license.