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).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
AS048976 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 2594326 | 05 |
| 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 |
| Street Address |
24100 LITTLE MACK AVE |
| City | SAINT CLAIR SHORES |
| State | MI |
| Zip Code | 48080-3247 |
| 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 |
| 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 Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| 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. |
| 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 |
| 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 | ||||
| City | SAINT CLAIR SHORES |
| Zip Code | 48080 |
Please comment or provide details below to improve the information on SHORES RHEUMATOLOGY PC.
| 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.