SHORES RHEUMATOLOGY PC


Address: 24100 Little Mack Ave, Saint Clair Shores, MI 48080-3247
Phone: 5867777577

SHORES RHEUMATOLOGY PC (NPI# 1497975510) 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) 1497975510
Entity Type Organization
Organization Name SHORES RHEUMATOLOGY PC
Practice Address 24100 Little Mack Ave
Saint Clair Shores
MI 48080-3247
Practice Telephone 5867777577
Practice Fax Number 5867776841
Mailing Telephone 5867777577
Mailing Fax Number 5867776841
Enumeration Date 2007-04-30
Last Update Date 2008-03-19
Authorized Official Name ANDREW SULICH (VICE-PRESIDENT)
Authorized Official Telephone 5867777577
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RR0500X Internal Medicine
Specialization: Rheumatology
AS048976 MI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MI 2594326 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1649490772 Shores Rheumatology PC Internal Medicine 24100 Little Mack Ave, Saint Clair Shores, MI 48080-3247 2007-04-30
1508085168 Shores Rheumatology PC Internal Medicine 24100 Little Mack Ave, Saint Clair Shores, MI 48080-3247 2007-04-24

Office Location

Street Address 24100 LITTLE MACK AVE
City SAINT CLAIR SHORES
State MI
Zip Code 48080-3247

Providers in the same location

NPI Name Taxonomy Address Enumeration
1700883345 Farzin Reza Namei Family Medicine 24100 Little Mack Ave, Saint Clair Shores, MI 48080-3247 2005-06-28
1649490772 Shores Rheumatology PC Internal Medicine 24100 Little Mack Ave, Saint Clair Shores, MI 48080-3247 2007-04-30
1508085168 Shores Rheumatology PC Internal Medicine 24100 Little Mack Ave, Saint Clair Shores, MI 48080-3247 2007-04-24
1023010063 Mark Edward Holowinski Family Medicine 24100 Little Mack Ave, Saint Clair Shores, MI 48080-3247 2005-08-10

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1508482084 Farrah Aleema Rajab Family Medicine 24911 Little Mack Avenue, Suite C, St. Clair Shores, MI 48080 2020-06-22
1558986141 Julia Anastazja Krakowska Family Medicine 24911 Little Mack, Suite C, St. Clair Shores, MI 48080 2020-06-10
1972073567 Joyce Stepnak Social Worker 19611 E. 8 Mile Rd, Scs, MI 48080 2018-11-27
1487134177 Bonnie Girson Social Worker 23409 Jefferson Ave Ste 100, Saint Clair Shores, MI 48080 2018-08-21
1609309913 Park Pharmacy Scs LLC Pharmacy 20225 E 9 Mile Rd Ste 120a, Saint Clair Shores, MI 48080 2017-04-05
1730564055 Mary Rose Giroux Psychologist 22516 Overlake St, St. Clair Shores, MI 48080 2015-07-28
1962882910 Ali Tarif Bazzy Family Medicine 20225 E 9 Mile Rd Ste A, Saint Clair Shores, MI 48080 2015-06-04
1497156228 Kelly Zalewski Social Worker 24631 Jefferson Ave, Saint Clair Shores, MI 48080 2014-09-11
1669871364 Mallory Margret Gordon Psychologist 19900 E. 10 Mile Rd., Ste. 102, Saint Clair Shores, MI 48080 2014-08-19
1932549375 Alexander Peter Bill Otolaryngology 22631 Greater Mack Ave Ste 200, Saint Clair Shores, MI 48080 2013-06-30
Find all providers in zip 48080

Taxonomy Information

Taxonomy Code 207RR0500X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Rheumatology

Taxonomy Definition

An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases.
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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1255411039 Amar Q Majjhoo Internal Medicine 29200 Harper Ave, Saint Clair Shores, MI 48081-1274 2006-10-16
1649490772 Shores Rheumatology PC Internal Medicine 24100 Little Mack Ave, Saint Clair Shores, MI 48080-3247 2007-04-30
1508085168 Shores Rheumatology PC Internal Medicine 24100 Little Mack Ave, Saint Clair Shores, MI 48080-3247 2007-04-24
1508946385 Andrew J Sulich Internal Medicine 29200 Harper Ave, Saint Clair Shores, MI 48081-1274 2006-10-16
1356421135 Timothy A Brennan Internal Medicine 29200 Harper Ave, Saint Clair Shores, MI 48081-1274 2006-10-16

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1538655469 American Arthritis & Rheumatology Associates Mi Pllc Internal Medicine 1669 Hamilton Rd Ste 200, Okemos, MI 48864-1961 2018-07-03
1033413661 Rheumatology PC Internal Medicine 360 E Chicago St Ste 111, Coldwater, MI 49036-2086 2010-12-22
1295036507 Arden Gene Alexander Internal Medicine 79 Watershore Dr, Muskegon, MI 49444-7746 2010-11-03
1467763201 Nina Ramessar Internal Medicine 3950 Hollywood Rd Ste 288, Saint Joseph, MI 49085-9159 2010-06-26
1407084064 Davi Ponte De Sa Leitao Internal Medicine 2889 S 11th St, Kalamazoo, MI 49009-2123 2009-06-22
1275790156 V Geravipoolvorn Md PC Internal Medicine 28345 Utica Rd, Roseville, MI 48066-2566 2008-05-19
1285800268 Dianne Kay Trudell, Md Internal Medicine 5085 W Bristol Rd, Flint, MI 48507-2922 2008-04-30
1295901288 Jolanta Sobotka-czarnecki Md Pllc Internal Medicine G-5085 West Bristol Rd., Flint, MI 48507-2922 2008-04-30
1144411299 David K. Vallance, M.d., P.C. Internal Medicine 3055 Plymouth Rd Ste 102, Ann Arbor, MI 48105-3208 2007-08-05
1518178813 Lakshmi Kocharla Internal Medicine 5800 Foremost Dr Se Ste 202, Grand Rapids, MI 49546-7062 2007-05-25
Find all providers with the same taxonomy

Competitor

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City SAINT CLAIR SHORES
Zip Code 48080

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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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