Primesource of Michigan LLC
NPI 1114364346 · Podiatrist · Southfield, MI
Primesource of Michigan LLC is a Podiatrist organization in Southfield, MI (NPI 1114364346).
Provider details
- NPI number
- 1114364346
- Entity type
- Organization
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- David Fleming, Ceo/President(800) 317-0711
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
- Dentist122300000X
Dental Providers
- Optometrist152W00000X
Eye and Vision Services Providers
- Audiologist231H00000X
Speech, Language and Hearing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2013-05-29
- Last updated
- 2013-05-29
Frequently asked questions
- What is Primesource of Michigan LLC's NPI number?
- Primesource of Michigan LLC's National Provider Identifier (NPI) is 1114364346, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Primesource of Michigan LLC?
- Primesource of Michigan LLC is classified in the NPPES registry as Podiatrist (Podiatric Medicine & Surgery Service Providers).
- Where is Primesource of Michigan LLC located?
- Primesource of Michigan LLC's practice location on file with NPPES is 2000 Town Ctr, Southfield, MI 48075-1135.
- What is Primesource of Michigan LLC's phone number?
- The practice phone number listed in the NPPES registry for Primesource of Michigan LLC is (800) 317-0711.
- Who is the authorized official for Primesource of Michigan LLC?
- The authorized official listed on Primesource of Michigan LLC's NPPES record is David Fleming, Ceo/President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Primesource of Michigan LLC's NPI active?
- Yes — Primesource of Michigan LLC's NPI (1114364346) is active in the NPPES registry as of the last update on 2013-05-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.