Organization Active NPI

Metro Infectious Disease Specialists P.C

  • Specialist
  • Wyandotte, MI
National Provider Identifier
1144402165
Registry record updated Nov 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
4301083149 Issued in MI
Legal business name
METRO INFECTIOUS DISEASE SPECIALISTS P.C
Practice address
1628 Ford Ave
Wyandotte, MI 48192-2304
Phone
(734) 284-1333
Fax
(734) 284-1311
NPI assigned
Nov 30, 2007
Last updated
Nov 30, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2007

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

Authorized official

Name
Alanna Weaver
Title
Medical Biller
Phone
(734) 284-1333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 4301083149 MI Primary

Addresses

Primary practice location

1628 Ford Ave
Wyandotte, MI 48192-2304

Mailing address

1628 Ford Ave
Wyandotte, MI 48192-2304
Phone (734) 284-1333

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1196380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196380800000",
    "number": "1144402165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1628 FORD AVE",
            "city": "WYANDOTTE",
            "state": "MI",
            "postal_code": "481922304",
            "telephone_number": "734-284-1333",
            "fax_number": "734-284-1311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1628 FORD AVE",
            "city": "WYANDOTTE",
            "state": "MI",
            "postal_code": "481922304",
            "telephone_number": "734-284-1333",
            "fax_number": "734-284-1311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO INFECTIOUS DISEASE SPECIALISTS P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-30",
        "last_updated": "2007-11-30",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "ALANNA",
        "authorized_official_title_or_position": "MEDICAL BILLER",
        "authorized_official_telephone_number": "734-284-1333"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MI",
            "license": "4301083149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyandotte, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2007; 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.