MVC Clinical Practice - Mi PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

MVC CLINICAL PRACTICE - MI PC

Practice address

7125 Orchard Lake Rd Ste 120
West Bloomfield, MI 48322-3627

Phone

(248) 855-5355

Fax

(248) 855-5455

NPI assigned

May 23, 2019

Organization subpart

No

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

Authorized official

Name

Max Hutton, MD

Title

Chief Medical Officer

Phone

(248) 855-5355

Specialties & licenses 4

Addresses

Other names 1

• Metro Vein Centers Doing business as

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

{
    "created_epoch": "1558569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568246400000",
    "number": "1073170221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7125 ORCHARD LAKE RD STE 316",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223629",
            "telephone_number": "248-855-5355",
            "fax_number": "248-855-5455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7125 ORCHARD LAKE RD STE 120",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223627",
            "telephone_number": "248-855-5355",
            "fax_number": "248-855-5455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MVC CLINICAL PRACTICE - MI PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-23",
        "last_updated": "2019-09-12",
        "status": "A",
        "authorized_official_last_name": "HUTTON",
        "authorized_official_first_name": "MAX",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "248-855-5355",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Metro Vein Centers",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Metro Vein Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brian Cleland Murphy, DDS
• Erin Dale Murria, MA, LLPC, CAC-R
• Nithila Murugan
• Mohammad Mustaquim
• Sarah Mutch, LLMSW
• My Family Home Care
• Rebecca Myszenski, PT
• Reganne Nabozny
• Bahram Nadim, PT
• Nadine S Jennings MD PLC

• Surgery Physician in West Bloomfield, MI
• Providers in West Bloomfield, MI by specialty
• Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2019; 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.