Organization Active NPI

Marc S Mastropaolo D O P C

  • Internal Medicine Physician
  • Farmington Hills, MI
National Provider Identifier
1043407745
Registry record updated Sep 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MM009644 Issued in MI
Legal business name
MARC S MASTROPAOLO D O P C
Practice address
33466 W 8 Mile Rd
Suite 444
Farmington Hills, MI 48335-5208
Phone
(248) 476-6400
Fax
(248) 476-6465
NPI assigned
Sep 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2007

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

Authorized official

Name
Amber Logan
Title
Billing Manager
Phone
(734) 844-3155

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X MM009644 MI Primary

Addresses

Primary practice location

33466 W 8 Mile Rd
Suite 444
Farmington Hills, MI 48335-5208

Mailing address

33466 W 8 Mile Rd
Suite 444
Farmington Hills, MI 48335-5208
Phone (248) 476-6400

National Provider Directory

National Provider Directory

Locations

33466 W 8 Mile Rd
Ste 444
Farmington Hills, MI 48335
Phone (248) 476-6400

NPI Registry JSON

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

{
    "created_epoch": "1190851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190851200000",
    "number": "1043407745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33466 W 8 MILE RD",
            "address_2": "SUITE 444",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483355208",
            "telephone_number": "248-476-6400",
            "fax_number": "248-476-6465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33466 W 8 MILE RD",
            "address_2": "SUITE 444",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483355208",
            "telephone_number": "248-476-6400",
            "fax_number": "248-476-6465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARC S MASTROPAOLO D O P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-27",
        "last_updated": "2007-09-27",
        "status": "A",
        "authorized_official_last_name": "LOGAN",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "734-844-3155"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "MM009644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.