Provider Service Organization
NPI 1447610704 · Geriatric Medicine (Family Medicine) Physician · Canton, MI
Provider Service Organization is a Geriatric Medicine (Family Medicine) Physician organization in Canton, MI (NPI 1447610704).
Provider details
- NPI number
- 1447610704
- Entity type
- Organization
- Primary specialty
- Geriatric Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ramon Villanueva, President(734) 516-4239
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
- 2016-02-29
- Last updated
- 2016-06-06
Frequently asked questions
- What is Provider Service Organization's NPI number?
- Provider Service Organization's National Provider Identifier (NPI) is 1447610704, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Provider Service Organization?
- Provider Service Organization is classified in the NPPES registry as Geriatric Medicine (Family Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Provider Service Organization located?
- Provider Service Organization's practice location on file with NPPES is 7233 Provincial Ct, Canton, MI 48187-2121.
- What is Provider Service Organization's phone number?
- The practice phone number listed in the NPPES registry for Provider Service Organization is (734) 516-4239.
- Who is the authorized official for Provider Service Organization?
- The authorized official listed on Provider Service Organization's NPPES record is Ramon Villanueva, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Provider Service Organization's NPI active?
- Yes — Provider Service Organization's NPI (1447610704) is active in the NPPES registry as of the last update on 2016-06-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.