Excel Medical Group

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

35067035C Issued in OH

Legal business name

EXCEL MEDICAL GROUP

Practice address

42928 Versailles
Canton, MI 48187-2344

Phone

(734) 414-0754

Fax

(734) 414-0769

NPI assigned

Aug 27, 2012

Organization subpart

No

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

Authorized official

Name

Susan Rice, MD

Title

Owner

Phone

(734) 414-0754

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

Excel Medical Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Excel Medical Group,LLC

  • Physical Medicine & Rehabilitation Physician
  • Toledo, OH
  • NPI 1578696449
  NPD tax ID

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

{
    "created_epoch": "1346025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346025600000",
    "number": "1134477912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2718 RIVER RD",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435373737",
            "telephone_number": "734-414-0754",
            "fax_number": "734-414-0769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42928 VERSAILLES",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481872344",
            "telephone_number": "734-414-0754",
            "fax_number": "734-414-0769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEL MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-27",
        "last_updated": "2012-08-27",
        "status": "A",
        "authorized_official_last_name": "RICE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-414-0754",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "OH",
            "license": "35067035C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "3567035C",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2300156",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dominic Anthony Essich, AUD
• Giriraj Ethiraju, MA SLP
• Cameron Paige Etter, LLMSW
• Chad Evans, PA
• Nikeyta Catrice Evans
• Excell Therapy PLLC
• Eye Definition PLLC
• Dana Lynn Eyler, PA-C
• Ez-Way Home Health LLC
• Marie Michelle Ezenwokemodo

• Physical Medicine & Rehabilitation Physician in Canton, MI
• Providers in Canton, MI by specialty
• Physical Medicine & Rehabilitation Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2012; 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.