NPIMap

Organization Active NPI

Madison Medical P.C

  • Specialist
  • Hamtramck, MI
National Provider Identifier
1063463545
Registry record updated Mar 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
MADISON MEDICAL P.C
Practice address
3120 Carpenter St
Hamtramck, MI 48212-9802
Phone
(313) 369-3379
Fax
(313) 893-6346
NPI assigned
May 12, 2006
Last updated
Mar 24, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2009

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

Authorized official

Name
Mr. Tushar Tripathi
Title
Supervisor
Phone
(313) 369-3379

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

3120 Carpenter St
Hamtramck, MI 48212-9802

Mailing address

24661 Coolidge Hwy
Oak Park, MI 48237-1449
Phone (313) 369-3379

National Provider Directory

National Provider Directory

Locations

24661 Coolidge Hwy
Oak Park, MI 48237
Phone (248) 398-4000

18597 W 10 Mile Rd
Southfield, MI 48075
Phone (248) 395-2234

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237852800000",
    "number": "1063463545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24661 COOLIDGE HWY",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482371449",
            "telephone_number": "313-369-3379",
            "fax_number": "313-893-6346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 CARPENTER ST",
            "city": "HAMTRAMCK",
            "state": "MI",
            "postal_code": "482129802",
            "telephone_number": "313-369-3379",
            "fax_number": "313-893-6346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON MEDICAL P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2009-03-24",
        "status": "A",
        "authorized_official_last_name": "TRIPATHI",
        "authorized_official_first_name": "TUSHAR",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "313-369-3379",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamtramck, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2009; 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.