Asl Medical PC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

4301021837 Issued in MI

Legal business name

ASL MEDICAL PC

Practice address

42627 Garfield Rd
Suite 213
Clinton Township, MI 48038-5032

Phone

(734) 347-1462

Fax

(810) 458-4187

NPI assigned

Sep 25, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Edwin T. Pearce Jr., M.D.

Title

Owner/Provider

Phone

(734) 347-1462

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211414400000",
    "number": "1093901993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 489",
            "city": "LINDEN",
            "state": "MI",
            "postal_code": "484510489",
            "telephone_number": "734-347-1462",
            "fax_number": "810-458-4187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42627 GARFIELD RD",
            "address_2": "SUITE 213",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480385032",
            "telephone_number": "734-347-1462",
            "fax_number": "810-458-4187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASL MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-25",
        "last_updated": "2008-05-22",
        "status": "A",
        "authorized_official_last_name": "PEARCE",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "734-347-1462",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "MI",
            "license": "4301021837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3262071",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11285679",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; 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.