Algimantas P Maciulis, MD

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

AM056481 Issued in MI

Practice address

200 S. Wenona St
Suite 260
Bay City, MI 48706

Phone

(989) 894-6040

Fax

(989) 892-3983

NPI assigned

Dec 13, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286409600000",
    "number": "1043295066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S. WENONA ST.",
            "address_2": "SUITE 260",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "48706",
            "telephone_number": "989-894-6040",
            "fax_number": "989-892-3983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S. WENONA ST",
            "address_2": "SUITE 260",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "48706",
            "telephone_number": "989-894-6040",
            "fax_number": "989-892-3983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACIULIS",
        "first_name": "ALGIMANTAS",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-13",
        "last_updated": "2010-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "MI",
            "license": "4301056481",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "MI",
            "license": "AM056481",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2678097",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCR & BCN",
            "identifier": "1100975472",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Luxottica Retail North America Inc (Pearle Vision #C6832)
• Shardavia Lyte
• Scott R Macdonald
• Stella Rhoda Macheso, DNP, ACCNS-AG
• Jordan Maciejewski, OT
• Margarethe M Maciulis, MD
• Travis William Maggart Jr.
• Emily Maggio, M.A., CCC-SLP
• Lalit Mahajan, RPH
• Jenna M Mahar

• Rheumatology Physician in Bay City, MI
• Providers in Bay City, MI by specialty
• Rheumatology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2010; 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.