OrganizationActive
Park Place Family Practice & Internal Medicine
NPI 1891307443 · Internal Medicine Physician · Taylor, MI
Provider details
- NPI number
- 1891307443
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Susan Goswami, Office Admin(734) 374-0500
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
12701 Telegraph Rd Ste 103
Taylor, MI 48180-4087
Phone: (734) 374-0500
Fax: (734) 374-2415
Street-level locationGet directions
Mailing address
12701 Telegraph Rd Ste 103
Taylor, MI 48180-4087
Registry dates
- Enumerated
- 2020-08-17
- Last updated
- 2021-07-21
- Certified
- 2021-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.