NPIMap

Organization Active NPI

M a Haroon, MD, PC

  • Internal Medicine Physician
  • Taylor, MI
National Provider Identifier
1164620175
Registry record updated Feb 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301036971 Issued in MI
Legal business name
M A HAROON, MD, PC
Practice address
24887 Goddard Rd
Taylor, MI 48180-3930
Phone
(734) 946-7200
Fax
(734) 946-5551
NPI assigned
Jul 11, 2007
Last updated
Feb 11, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2011

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

Authorized official

Name
Dr. Manzoor Haroon, M.D.NPI 1073531034
Title
Owner
Phone
(734) 946-7200

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 4301036971 MI Primary

Addresses

Primary practice location

24887 Goddard Rd
Taylor, MI 48180-3930

Mailing address

24887 Goddard Rd
Taylor, MI 48180-3930
Phone (734) 946-7200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070720000836 MI Part B Supplier - Clinic/Group Practice 7911008974 Receives reassigned benefits from 2 practitioners
Practice locations: Taylor, MI

National Provider Directory

National Provider Directory

Locations

24887 Goddard Rd
Taylor, MI 48180
Phone (734) 946-0228

Practitioners & affiliated clinicians

Practitioners 11

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": "1184112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297382400000",
    "number": "1164620175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24887 GODDARD RD",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481803930",
            "telephone_number": "734-946-7200",
            "fax_number": "734-946-5551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24887 GODDARD RD",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481803930",
            "telephone_number": "734-946-7200",
            "fax_number": "734-946-5551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M A HAROON, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-11",
        "last_updated": "2011-02-11",
        "status": "A",
        "authorized_official_last_name": "HAROON",
        "authorized_official_first_name": "MANZOOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-946-7200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301036971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.