South Macomb Internists, P.C. in Warren - Multi-specialty
South Macomb Internists, P.C. - NPI 1366436511
South Macomb Internists, P.C. is a Multi-specialty in Warren, Michigan. South Macomb Internists, P.C. practices all healthcare services and medical treatments related to Multi-specialty. The NPI Number for South Macomb Internists, P.C. is 1366436511. The last update date is 2007-07-14.
South Macomb Internists, P.C.'s current location address is 11900 E 12 Mile Rd, Warren, Michigan. You can contact this provider via phone number 5867612072 and fax number 5867511302. The mailing address for South Macomb Internists, P.C. is 11900 E 12 Mile Rd, Warren, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | South Macomb Internists, P.C. |
|---|---|
| Address | 11900 E 12 Mile Rd, Warren, Michigan |
| Phone Number | 5867612072 |
| Fax Number | 5867511302 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OFFICER |
|---|---|
| Authorized Official Name | Baron Anthony |
| Credentials | MD |
| Telephone Number | 5867512072 |
NPI Number Detail
| NPI Number | 1366436511 |
|---|---|
| Provider Enumeration Date | 2005-09-02 |
| Last Updated Date | 2007-07-14 |
Provider Mailing Address Detail
| Address | 11900 E 12 Mile Rd |
|---|---|
| City | Warren |
| State | Michigan (MI) |
| Post Code | 480933400 |
| Phone Number | 5867612072 |
| Fax Number | 5867511302 |
Provider's Primary Taxonomy Detail
| Speciality | Multi-specialty |
|---|---|
| Taxonomy | 261Qm1300X |
|
Definition: Provides integrated outpatient care across medical and surgical specialties with referrals under one roof. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 700E06357 | MI | BCBSM |
Post Comment/ Review Below
What is the unique identifier code issued to South Macomb Internists, P.C. by the Centers for Medicare & Medicaid Services (CMS)?
The South Macomb Internists, P.C. has been assigned the NPI (National Provider Identifier) 1366436511. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where South Macomb Internists, P.C. is physically located?
The South Macomb Internists, P.C. is physically situated at the following address: 11900 E 12 Mile Rd, Warren, MI, 480933400.
What is South Macomb Internists, P.C.'s primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for South Macomb Internists, P.C. is Multi-specialty, and the taxonomy classification code that categorizes this area of expertise is 261Qm1300X.
On what date did the South Macomb Internists, P.C. receive the assignment of its 1366436511 from the Centers for Medicare & Medicaid Services?
The South Macomb Internists, P.C. was issued its 1366436511 by the Centers for Medicare & Medicaid Services on 2005-09-02.
When was the information regarding South Macomb Internists, P.C. most recently updated?
The details pertaining to the South Macomb Internists, P.C., including its address, specialty, and other relevant information, were last refreshed on 2007-07-14.