NPIMap

Organization Active NPI

Downriver Medicine Associates PLC

  • Internal Medicine Physician
  • Flat Rock, MI
National Provider Identifier
1114055811
Registry record updated May 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
AD054293 Issued in MI
Legal business name
DOWNRIVER MEDICINE ASSOCIATES PLC
Practice address
28747 Church St
Flat Rock, MI 48134-1544
Phone
(734) 782-3654
Fax
(734) 782-8947
NPI assigned
Mar 2, 2007
Last updated
May 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2008

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

Authorized official

Name
Mr. Oscar Linares, MDNPI 1689641458
Title
Member
Phone
(734) 782-3654

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 5601003734 MI
Internal Medicine Physician 207R00000X OL045607 MI
Internal Medicine Physician 207R00000X AD054293 MI Primary

Addresses

Primary practice location

28747 Church St
Flat Rock, MI 48134-1544

Mailing address

PO Box 127
Flat Rock, MI 48134-0127
Phone (734) 782-3654

Other identifiers 1

IdentifierTypeStateIssuer
700H249500OtherMIBCBS GROUP NUMBER

National Provider Directory

National Provider Directory

Locations

28747 Church St
Flat Rock, MI 48134
Phone (734) 782-3654

14750 Laplaisance Rd
Ste H240
Monroe, MI 48161
Phone (734) 243-3288

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210896000000",
    "number": "1114055811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 127",
            "city": "FLAT ROCK",
            "state": "MI",
            "postal_code": "481340127",
            "telephone_number": "734-782-3654",
            "fax_number": "734-782-8947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28747 CHURCH ST",
            "city": "FLAT ROCK",
            "state": "MI",
            "postal_code": "481341544",
            "telephone_number": "734-782-3654",
            "fax_number": "734-782-8947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOWNRIVER MEDICINE ASSOCIATES PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2008-05-16",
        "status": "A",
        "authorized_official_last_name": "LINARES",
        "authorized_official_first_name": "OSCAR",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "734-782-3654",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "5601003734",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "OL045607",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "AD054293",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NUMBER",
            "identifier": "700H249500",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flat Rock, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.