McLaren Macomb

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MCLAREN MACOMB

Practice address

32743 23 Mile Rd
Chesterfield, MI 48047

Phone

(586) 725-9600

Fax

(586) 725-7170

NPI assigned

May 16, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Thomas M Brisse

Title

Ceo

Phone

(586) 493-8083

Specialties & licenses 1

Addresses

Other identifiers 8

Tax ID family

Georgetown OB GYN12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

• McLaren Macomb

  • Emergency Medicine Physician
  • Harrison Township, MI
  • NPI 1013256296
  NPD tax ID
• McLaren Macomb

  • Rehabilitation Hospital Unit
  • Mount Clemens, MI
  • NPI 1033710116
  NPD tax ID
• McLaren Macomb

  • Pediatrics Physician
  • Mount Clemens, MI
  • NPI 1063690857
  NPD tax ID
• McLaren Macomb

  • Pediatrics Physician
  • Mt. Clemens, MI
  • NPI 1083669691
  NPD tax ID
• McLaren Macomb

  • Internal Medicine Physician
  • Clinton Township, MI
  • NPI 1285685339
  NPD tax ID
• McLaren Macomb

  • Family Medicine Physician
  • Clinton Township, MI
  • NPI 1356394571
  NPD tax ID
• McLaren Macomb

  • Family Medicine Physician
  • Clinton Township, MI
  • NPI 1457303810
  NPD tax ID
• McLaren Macomb

  • Rehabilitation Hospital
  • Mount Clemens, MI
  • NPI 1750053757
  NPD tax ID
• McLaren Macomb

  • Family Medicine Physician
  • Shelby Township, MI
  • NPI 1821040288
  NPD tax ID
• McLaren Macomb

  • Pediatric Neurodevelopmental Disabilities Physician
  • Clinton Township, MI
  • NPI 1821049990
  NPD tax ID
• McLaren Macomb

  • General Acute Care Hospital
  • Mount Clemens, MI
  • NPI 1922316140
  NPD tax ID

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527033600000",
    "number": "1104878636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32743 23 MILE RD",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "480471985",
            "telephone_number": "586-725-9600",
            "fax_number": "586-725-7170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32743 23 MILE RD",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "48047",
            "telephone_number": "586-725-9600",
            "fax_number": "586-725-7170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCLAREN MACOMB",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2018-05-23",
        "status": "A",
        "authorized_official_last_name": "BRISSE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "586-493-8083",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4853249",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4248827",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4344028",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4414033",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4463904",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3493533",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4283020",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4849193",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jamika McGhee
• Meghan McGovern
• Brianna McGrath
• Drake McGuire
• Devine McKay
• Sherri McLaren
• Meghan Elizabeth McLaughlin
• Tamara McMullen
• Andrea McReynolds
• Brittany McReynolds

• All providers in Chesterfield, MI
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2018; 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.