Organization Active NPI

Michigan Internal Medicine and Cardiology Associates PC

  • Cardiovascular Disease Physician
  • Auburn Hills, MI
National Provider Identifier
1003874983
Registry record updated Sep 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
GM045944 Issued in MI
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

Updated by the provider on Sep 26, 2007

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

Authorized official

Name
Gheorghe N Marinescu, MDNPI 1962450056
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)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 IDStateProvider typePAC IDDetails
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.