MCGH Comprehensive Breast Screening Center LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

MCGH COMPREHENSIVE BREAST SCREENING CENTER LLC

Doing business as

MCRMC Comprehensive Breast Health Center

Practice address

43900 Garfield Rd
Suite 202
Clinton Township, MI 48038-1128

Phone

(586) 412-5150

Fax

(586) 412-5165

NPI assigned

Nov 8, 2006

Last updated

Jun 19, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. John Liston

Title

Vice President of Treasury

Phone

(586) 741-4156

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• MCRMC Comprehensive Breast Health Center Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• McLaren Macomb

  • Psychiatric Hospital Unit
  • Shelby Township, MI
  • NPI 1184206385

  Member Of

  NPD member

Locations

Practitioners 3

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.

• Timothy P Pierron, DO

  • Diagnostic Radiology Physician
  • Mount Clemens, MI
  • NPI 1285666909
  NPD (past)
• Jeffrey V Tranchida, M.D.

  • Diagnostic Radiology Physician
  • Dearborn, MI
  • NPI 1477580322
  NPD (past)
• Michele M Blair, DO

  • Diagnostic Radiology Physician
  • Cape Coral, FL
  • NPI 1639126931
  NPD (past)

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1023187374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43900 GARFIELD RD",
            "address_2": "SUITE 202",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480381128",
            "telephone_number": "586-412-5150",
            "fax_number": "586-412-5165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43900 GARFIELD RD",
            "address_2": "SUITE 202",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480381128",
            "telephone_number": "586-412-5150",
            "fax_number": "586-412-5165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCGH COMPREHENSIVE BREAST SCREENING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "LISTON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "VICE PRESIDENT OF TREASURY",
        "authorized_official_telephone_number": "586-741-4156",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4458726",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4458682",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4458691",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MCRMC Comprehensive Breast Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• McFadden Health Center
• David J McFadden, D.C.
• Amanda Rose McFarland, LMSW
• MCG Professional Billing L.L.C.
• Kristen McGee
• Julia E McGowen-Bienkowski, LPC
• Lisa McInnis, RN
• Carol Lee McKay, LBSW, MSA
• Judith McKenna, RN, NP
• Amy L McKenzie, MD

• Diagnostic Radiology Physician in Clinton Township, MI
• Providers in Clinton Township, MI by specialty
• Diagnostic Radiology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; 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.