NPIMap

Organization Active NPI

Meahealth PLC

  • Internal Medicine Physician
  • Troy, MI
National Provider Identifier
1013212315
Registry record updated Jan 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MEAHEALTH PLC
Practice address
3250 W Big Beaver Rd
Suite 144
Troy, MI 48084-2900
Phone
(248) 637-7100
NPI assigned
Jan 18, 2011
Last updated
Jan 18, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2011

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

Authorized official

Name
Mishulin Svetlana, MD
Title
Presedent
Phone
(248) 637-7100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

3250 W Big Beaver Rd
Suite 144
Troy, MI 48084-2900

Mailing address

3250 W Big Beaver Rd
Suite 144
Troy, MI 48084-2900
Phone (248) 637-7100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110323000249 MI Part B Supplier - Clinic/Group Practice 8123201555 Receives reassigned benefits from 4 practitioners
Practice locations: Troy, MI

National Provider Directory

National Provider Directory

Locations

3250 W Big Beaver Rd
Ste 144
Troy, MI 48084
Phone (248) 637-7100

Practitioners & affiliated clinicians

Practitioners 5

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": "1295308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295308800000",
    "number": "1013212315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3250 W BIG BEAVER RD",
            "address_2": "SUITE 144",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480842900",
            "telephone_number": "248-637-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 W BIG BEAVER RD",
            "address_2": "SUITE 144",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480842900",
            "telephone_number": "248-637-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEAHEALTH PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-18",
        "last_updated": "2011-01-18",
        "status": "A",
        "authorized_official_last_name": "SVETLANA",
        "authorized_official_first_name": "MISHULIN",
        "authorized_official_title_or_position": "PRESEDENT",
        "authorized_official_telephone_number": "248-637-7100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2011; 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.