PRIMARY CARE ASSOCIATES, PC (NPI# 1336175041) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336175041 |
| Entity Type | Organization |
| Organization Name | PRIMARY CARE ASSOCIATES, PC |
| Practice Address |
18263 E 10 Mile Rd Ste B Roseville MI 48066-5805 |
| Practice Telephone | 5864452330 |
| Practice Fax Number | 5864452352 |
| Mailing Telephone | 5864452330 |
| Mailing Fax Number | 5864452352 |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2019-04-15 |
| Authorized Official Name | DR. GREGORY G MONTPETIT (PRESIDENT) |
| Authorized Official Telephone | 5864452330 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | GM048923 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RAILROAD MEDICARE | 110042849 | 01 | |
| MI | BCBSM | 1105016431 | 01 |
| MI | STATE LICENSE | GM048923 | 01 |
| MI | BCBSM | 1105017110 | 01 |
| MI | STATE LICENSE | DM038055 | 01 |
| RAILROAD MEDICARE | 110131072 | 01 | |
| MI | 3232662 | 05 | |
| MI | 2708570 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578687281 | Primary Care Associates, PC | Internal Medicine | 2000 E. Greenville St., Suite #1600, Anderson, SC 29621 | 2007-03-19 |
| 1306853965 | Primary Care Associates, PC | Nurse Practitioner | 204 Shaver Dr, Talbott, TN 37877-8552 | 2006-08-03 |
| Street Address |
18263 E 10 MILE RD STE B |
| City | ROSEVILLE |
| State | MI |
| Zip Code | 48066-5805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346749009 | Elizabeth Haberkorn | Nurse Practitioner | 18263 E 10 Mile Rd Ste B, Roseville, MI 48066-5805 | 2018-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437761400 | Louay Mansour Dds PC | Dentist | 27845 Gratiot Avenue, Roseville, MI 48066 | 2020-08-20 |
| 1558911842 | Jomy Jose | Nurse Practitioner | 25719 Salem St, Roseville, MI 48066 | 2019-09-18 |
| 1053963033 | Convenient Rv PC | Dentist | 19551 E. 10 Mile Rd, Roseville, MI 48066 | 2019-07-10 |
| 1063914539 | Colleen Meriweather | Registered Nurse | 27300 Spruce, Rosevilel, MI 48066 | 2018-03-01 |
| 1326565789 | Renee Suzette Hoelzeman | Nurse Practitioner | 18472 Meier St, Roseville, MI 48066 | 2017-08-27 |
| 1225561400 | Eugenia Dillard | Counselor | 28351 Gratiot Ave., Suite 3, Roseville, MI 48066 | 2017-04-05 |
| 1932651338 | Julie Plichota | Physical Therapist | 31120 Gratiot Ave, Roseville, MI 48066 | 2016-11-01 |
| 1699221325 | Jaquenta Glasker | Technician, Other | 26778 Rosewood, Roseville, MI 48066 | 2016-09-01 |
| 1609296144 | Peter Jajou | Dermatology | 18285 E 10 Mile Rd Ste 130, Roseville, MI 48066 | 2014-04-23 |
| 1619393899 | Katherine Michelle Johnson | Obstetrics & Gynecology | 29751 Little Mack Ave Ste B, Roseville, MI 48066 | 2014-03-11 |
| Find all providers in zip 48066 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336669233 | Medpro Inc | Internal Medicine | 1420 E Roseville Pkway, Suite #140-503, Roseville, CA 95661 | 2017-06-21 |
| 1649686684 | Nivano Care Medical Group Inc | Internal Medicine | 729 Sunrise Ave Ste 601, Roseville, CA 95661-4542 | 2014-07-10 |
| 1417373754 | Troy Andrew Singh | Internal Medicine | 906b Cirby Way, Roseville, CA 95661-4420 | 2014-03-11 |
| 1639515190 | Hong J Son | Internal Medicine | 1872 Granite Way, Roseville, CA 95747-4930 | 2013-05-10 |
| 1437482981 | Sudha Nannapaneni Md Pllc | Internal Medicine | 18285 E 10 Mile Rd Ste 120, Roseville, MI 48066-5806 | 2009-09-16 |
| 1962667204 | Neha Dang | Internal Medicine | 3100 Douglas Blvd Ste 200, Roseville, CA 95661-3868 | 2008-07-25 |
| 1093979593 | Farah Kirma Salem | Internal Medicine | 18263 E 10 Mile Rd Ste D, Roseville, MI 48066-5805 | 2008-07-14 |
| 1417120783 | Khushwinder Singh Garcha | Internal Medicine | 588 N Sunrise Ave Ste 120, Roseville, CA 95661-2843 | 2008-04-08 |
| 1417125519 | Raied M Hanna | Internal Medicine | 26390 Gratiot Ave, Roseville, MI 48066-5106 | 2008-02-12 |
| 1205022084 | Wasim H. Raja | Internal Medicine | 101 Emma Ct, Roseville, CA 95661-3239 | 2007-09-14 |
| Find all providers in ROSEVILLE | ||||
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| 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.