Elliott I. Greenspan, D.O., P.C. & Associates

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

ELLIOTT I. GREENSPAN, D.O., P.C. & ASSOCIATES

Practice address

28050 Grand River Ave
Farmington Hills, MI 48336-5919

Phone

(248) 926-8459

Fax

(248) 926-1310

NPI assigned

Dec 26, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Elliott I. Greenspan, D.O.NPI 1003803966

Title

Ceo

Phone

(248) 245-4833

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elliott I Greenspan, D.O.

  • Internal Medicine Physician
  • Bloomfield Hills, MI
  • NPI 1003803966
  Medicare reassignment NPD Authorized official
• Rita Khaneja-Sharrow, D.O.

  • Family Medicine Physician
  • Wixom, MI
  • NPI 1982691846
  Medicare reassignment NPD
• William Michels III, D.O.

  • Internal Medicine Physician
  • Dearborn Heights, MI
  • NPI 1295722171
  Medicare reassignment NPD
• Kathryn Marie Poulos

  • Physician Assistant
  • Plymouth, MI
  • NPI 1083988323
  Medicare reassignment
• Jesse Martinez, D.O.

  • Internal Medicine Physician
  • Plymouth, MI
  • NPI 1699762567
  NPD (past)

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729641600000",
    "number": "1063577641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6962 SPRUCE HILL CT",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483013704",
            "telephone_number": "248-245-4833",
            "fax_number": "248-737-0159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28050 GRAND RIVER AVE",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483365919",
            "telephone_number": "248-926-8459",
            "fax_number": "248-926-1310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLIOTT I. GREENSPAN, D.O., P.C. & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A",
        "authorized_official_last_name": "GREENSPAN",
        "authorized_official_first_name": "ELLIOTT",
        "authorized_official_middle_name": "I.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "248-245-4833",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Ellingson
• Kourtney Ellingswort
• Erin Ellington-Bey
• Melissa Ellington
• Sierra Elliot-David
• Alfreda Elliott
• Alysia R Elliott
• Ashleigh Elliott
• Avery Elliott
• Brian Elliott

• Internal Medicine Physician in Farmington Hills, MI
• Providers in Farmington Hills, 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 Oct 23, 2024; 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.

Verify at the official NPI Registry.