NORTH MACOMB MRT CENTER LLC


Address: 17900 23 Mile Road, Macomb Twp, MI 48042
Phone: 5868689060

NORTH MACOMB MRT CENTER LLC (NPI# 1053575118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053575118
Entity Type Organization
Organization Name NORTH MACOMB MRT CENTER LLC
Practice Address 17900 23 Mile Road
Macomb Twp
MI 48042
Mailing Address 44000 Garfield Road
Clinton Twp
MI 48038-0000
Practice Telephone 5868689060
Mailing Telephone 5864124423
Mailing Fax Number 5864124102
Enumeration Date 2008-07-17
Last Update Date 2008-07-24
Authorized Official Name AMR M AREF (PRESIDENT)
Authorized Official Telephone 5868689060
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0001X Radiology
Specialization: Radiation Oncology
Allopathic & Osteopathic Physicians

Office Location

Street Address 17900 23 MILE ROAD
City MACOMB TWP
State MI
Zip Code 48042

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1952628489 Frank John Pugliesi Obstetrics & Gynecology 49730 S. Thunder Bay Circle, Macomb, MI 48042 2010-04-23
1780857870 Ryan David Vinson Physical Therapist 23211 21 Mile Rd, Macomb, MI 48042 2008-04-09
1578690889 Michael P Nedley Dentist 51218 Romeo Plank Rd, Macomb Township, MI 48042 2007-02-27
1477697027 Amy Hanes Psychologist 21592 Doral Dr, Macomb, MI 48042 2007-02-16
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1649389123 Rite Aid of Michigan Inc Durable Medical Equipment & Medical Supplies 15250 24 Mile Road, Macomb, MI 48042 2006-08-29
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Taxonomy Information

Taxonomy Code 2085R0001X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Radiation Oncology

Taxonomy Definition

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1790300390 Julian Jeberaeel Radiology 2250 Providence, Southfield, MI 48075 2020-06-10
1811444235 Gwendolyn Henderson Parker Radiology 48165 Liberty Dr, Shelby Twp, MI 48315-4061 2016-09-01
1376097733 Munson Medical Center Radiology 217 S Madison Avenue, Traverse City, MI 49684-2320 2016-08-15
1972985737 Andrew Thompson Radiology 44378 Dequindre Rd Fl 1, Sterling Heights, MI 48314-1003 2015-06-29
1093112799 Wmro LLC Radiology 5950 Metro Way, Wyoming, MI 49519 2014-11-24
1932533692 Compass Healthcare, Plc Radiology 2175 Coolidge Rd, East Lansing, MI 48823-1379 2013-08-29
1083903256 Omar Hesham Gayar Radiology 4100 Beecher Rd Ste A, Flint, MI 48532-3661 2011-03-28
1881906519 Sanath Kumar Radiology 18101 Oakwood Blvd Ste 411, Oakwood Hospital, Dearborn, MI 48124-4089 2010-07-10
1376772574 Matthew W Packard Radiology 145 Michigan St Ne - Suite 2200, Lemmen-holton Cancer Pavilion (radiation/oncology), Grand Rapids, MI 49503 2009-07-08
1699970525 Thomas Pence Boike Radiology 6770 Dixie Hwy Ste 106, Clarkston, MI 48346-2088 2007-06-20
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Competitor

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City MACOMB TWP
Zip Code 48042

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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