Maecenas Health Systems PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4301093171 Issued in MI

Legal business name

MAECENAS HEALTH SYSTEMS PC

Practice address

26677 W 12 Mile Rd
Southfield, MI 48034-1514

Phone

(248) 358-6995

NPI assigned

Feb 4, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Solomon Chukwuemeka Awusah, MD

Title

President

Phone

(248) 790-5808

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stanislav Zinkovsky, OTR, PA-C

  • Physician Assistant
  • Southfield, MI
  • NPI 1689706525
  NPD (past)
• Jennifer Marie Sponaugle, PA

  • Physician Assistant
  • Lexington, KY
  • NPI 1497167373
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1359936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360886400000",
    "number": "1003155607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26677 W 12 MILE RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341514",
            "telephone_number": "248-358-6995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26677 W 12 MILE RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341514",
            "telephone_number": "248-358-6995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAECENAS HEALTH SYSTEMS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-04",
        "last_updated": "2013-02-15",
        "status": "A",
        "authorized_official_last_name": "AWUSAH",
        "authorized_official_first_name": "SOLOMON",
        "authorized_official_middle_name": "CHUKWUEMEKA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-790-5808",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301093171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arti Madhavan, MD
• Santhosh Madhavan, MD
• Norma Dozier Madison, PSY.D.
• Taqueisha Madison
• Luis Gaspar Maduro Jr., M.D.
• Joy Anne Maedel
• Alvaro Magalhaes, MD
• Donald Jay Magder, MA, LLP
• Kyana Magee-Houston, LPC
• Marilyn Gaye Maggioncalda, RN, NP

• Internal Medicine Physician in Southfield, MI
• Providers in Southfield, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.