E & G Medical Associates PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4301046145 Issued in MI

Legal business name

E & G MEDICAL ASSOCIATES PC

Practice address

2950 E Jefferson Ave
Detroit, MI 48207-4208

Phone

(313) 567-3551

Fax

(313) 567-2905

NPI assigned

Mar 3, 2010

Organization subpart

No

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

Authorized official

Name

Alan F Green, M.D.

Title

President

Phone

(313) 567-3551

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1267574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267574400000",
    "number": "1053634188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 252643",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483252643",
            "telephone_number": "313-567-3551",
            "fax_number": "313-567-2905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 E JEFFERSON AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482074208",
            "telephone_number": "313-567-3551",
            "fax_number": "313-567-2905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E & G MEDICAL ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-03",
        "last_updated": "2010-03-03",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-567-3551",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301046145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Casandra Dysard
• Malgorzata Dziadkowiec
• Patricia Dzieciolowski, MSW,CSW
• Elberta Dziobak, CNM
• John T Dziuba, MD
• E Davidson RX LLC
• Lenricco E Williams
• Raven-Dunaj Eaddy, LLMSW
• Reginald J Eadie, M.D.
• Robert L Eagles

• Internal Medicine Physician in Detroit, MI
• Providers in Detroit, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.