Active NPI
Michigan Internal Medicine and Cardiology Associates PC
- Cardiovascular Disease Physician
- Auburn Hills, MI
National Provider Identifier
1003874983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- GM045944
- Legal business name
- MICHIGAN INTERNAL MEDICINE AND CARDIOLOGY ASSOCIATES PC
- Practice address
- 2191 South Boulevard
Auburn Hills, MI 48326 - Phone
- (248) 724-1420
- Fax
- (248) 724-1422
- NPI assigned
- May 2, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gheorghe N Marinescu, MD
- Title
- President
- Phone
- (248) 724-1420
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | GM045944 | MI | Primary |
Addresses
Primary practice location
2191 South Boulevard
Auburn Hills, MI 48326
Mailing address
2191 South Blvd
Auburn Hills, MI 48326-3479
Phone (248) 724-1420
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070123000627 | MI | Part B Supplier - Clinic/Group Practice | 1456352145 |
Receives reassigned benefits from 2 practitioners Practice locations: Auburn Hills, MI |
National Provider Directory
National Provider DirectoryLocations
2191 South Blvd
Ste 10
Auburn Hills, MI 48326
2191 South Blvd
Ste 101A
Auburn Hills, MI 48326
Phone (248) 724-1420
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Pontiac, MI
- NPI 1962450056
Cardiovascular Disease, MI
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146528000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1190764800000",
"number": "1003874983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2191 SOUTH BLVD",
"city": "AUBURN HILLS",
"state": "MI",
"postal_code": "483263479",
"telephone_number": "248-724-1420",
"fax_number": "248-724-1422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2191 SOUTH BOULEVARD",
"city": "AUBURN HILLS",
"state": "MI",
"postal_code": "48326",
"telephone_number": "248-724-1420",
"fax_number": "248-724-1422"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHIGAN INTERNAL MEDICINE AND CARDIOLOGY ASSOCIATES PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-02",
"last_updated": "2007-09-26",
"status": "A",
"authorized_official_last_name": "MARINESCU",
"authorized_official_first_name": "GHEORGHE",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "248-724-1420",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MI",
"license": "GM045944",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Auburn Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.