Organization Active NPI

Grand Blanc Adult Medicine PC

  • Internal Medicine Physician
  • Grand Blanc, MI
National Provider Identifier
1003886219
Registry record updated Nov 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
GRAND BLANC ADULT MEDICINE PC
Practice address
8288 S Saginaw St
Grand Blanc, MI 48439-1828
Phone
(810) 694-5000
Fax
(810) 694-5105
NPI assigned
Jan 23, 2006
Last updated
Nov 7, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2007

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

Authorized official

Name
Aram Sarkis Minasian, MDNPI 1679546303
Title
President
Phone
(810) 694-5000

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

8288 S Saginaw St
Grand Blanc, MI 48439-1828

Mailing address

8288 S Saginaw St
Grand Blanc, MI 48439-1828
Phone (810) 694-5000

Other identifiers 1

IdentifierTypeStateIssuer
4572640MedicaidMI

National Provider Directory

National Provider Directory

Locations

8288 S Saginaw St
Grand Blanc, MI 48439
Phone (810) 694-5000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194393600000",
    "number": "1003886219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8288 S SAGINAW ST",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484391828",
            "telephone_number": "810-694-5000",
            "fax_number": "810-694-5105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8288 S SAGINAW ST",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484391828",
            "telephone_number": "810-694-5000",
            "fax_number": "810-694-5105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND BLANC ADULT MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-23",
        "last_updated": "2007-11-07",
        "status": "A",
        "authorized_official_last_name": "MINASIAN",
        "authorized_official_first_name": "ARAM",
        "authorized_official_middle_name": "SARKIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "810-694-5000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4572640",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Blanc, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2007; 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.