NPIMap

Organization Active NPI

Advanced Physician Care Organization PLLC

  • Family Medicine Physician
  • Sterling Heights, MI
National Provider Identifier
1033460332
Registry record updated Oct 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ADVANCED PHYSICIAN CARE ORGANIZATION PLLC
Practice address
43455 Schoenherr Rd
Suite 17
Sterling Heights, MI 48313-1951
Phone
(586) 726-4823
Fax
(586) 726-8365
NPI assigned
Sep 26, 2012
Last updated
Oct 18, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2012

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

Authorized official

Name
Dr. Theodore L Tangalos, M.D.NPI 1760466585
Title
President
Phone
(586) 726-4823

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary
Internal Medicine Physician 207R00000X
Pediatrics Physician 208000000X

Addresses

Primary practice location

43455 Schoenherr Rd
Suite 17
Sterling Heights, MI 48313-1951

Mailing address

43455 Schoenherr Rd
Suite 17
Sterling Heights, MI 48313-1951
Phone (586) 726-4823

National Provider Directory

National Provider Directory
Tax ID family
Advanced Physician Care Organization PLLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

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": "1348617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350518400000",
    "number": "1033460332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43455 SCHOENHERR RD",
            "address_2": "SUITE 17",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483131951",
            "telephone_number": "586-726-4823",
            "fax_number": "586-726-8365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43455 SCHOENHERR RD",
            "address_2": "SUITE 17",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483131951",
            "telephone_number": "586-726-4823",
            "fax_number": "586-726-8365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PHYSICIAN CARE ORGANIZATION PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-26",
        "last_updated": "2012-10-18",
        "status": "A",
        "authorized_official_last_name": "TANGALOS",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-726-4823",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2012; 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.