Active NPI
John S Demare DO PC
- Family Medicine Physician
- Sterling Heights, MI
National Provider Identifier
1063527901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- JOHN S DEMARE DO PC
- Practice address
- 13700 19 Mile Rd
Sterling Heights, MI 48313-2702 - Phone
- (586) 247-6020
- Fax
- (586) 247-7048
- NPI assigned
- Aug 20, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Linda J Kenny
- Title
- Office Manager
- Phone
- (586) 247-6020
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
13700 19 Mile Rd
Sterling Heights, MI 48313-2702
Mailing address
13700 19 Mile Rd
Sterling Heights, MI 48313-2702
Phone (586) 247-6020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0E01378 | Other | BX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
13700 19 Mile Rd
Sterling Hts, MI 48313
Phone (586) 247-6020
Practitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Sterling Heights, MI
- NPI 1427031756
-
- Family Medicine Physician
- Sterling Heights, MI
- NPI 1558344887
-
- Physician Assistant
- Sterling Heights, MI
- NPI 1790917953
-
- Family Nurse Practitioner
- Sterling Heights, MI
- NPI 1801534482
-
- Family Medicine Physician
- Sterling Heights, MI
- NPI 1225018534
-
- Surgery Physician
- Garden City, MI
- NPI 1427143387
-
- Family Medicine Physician
- Sterling Heights, MI
- NPI 1003882903
-
- Family Nurse Practitioner
- Marysville, MI
- NPI 1184398810
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1692144000000",
"number": "1063527901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13700 19 MILE RD",
"city": "STERLING HEIGHTS",
"state": "MI",
"postal_code": "483132702",
"telephone_number": "586-247-6020",
"fax_number": "586-247-7048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13700 19 MILE RD",
"city": "STERLING HEIGHTS",
"state": "MI",
"postal_code": "483132702",
"telephone_number": "586-247-6020",
"fax_number": "586-247-7048"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHN S DEMARE DO PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-20",
"last_updated": "2023-08-16",
"certification_date": "2023-08-16",
"status": "A",
"authorized_official_last_name": "KENNY",
"authorized_official_first_name": "LINDA",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "586-247-6020"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BX",
"identifier": "0E01378",
"state": null
}
],
"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 Aug 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.