Active NPI
Metro Infectious Disease Specialists P.C
- Specialist
- Wyandotte, MI
National Provider Identifier
1144402165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 4301083149
- 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, 2007
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.