Rosa Mirijanian, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4301047934 Issued in MI

Practice address

7210 N Main St
Suite 200
Clarkston, MI 48346-1575

Phone

(248) 625-1600

Fax

(248) 625-0239

NPI assigned

Aug 9, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Clarkston Internal Medicine, P.C.

  • Internal Medicine Physician
  • Clarkston, MI
  • NPI 1417085085
  Medicare reassignment NPD
• Independence Urgent Care

  • Urgent Care Clinic/Center
  • Clarkston, MI
  • NPI 1215269618
  Medicare reassignment NPD
• Hospitalist Service of Michigan, LLC

  • Internal Medicine Physician
  • Bloomfield Hills, MI
  • NPI 1518186758
  NPD
• Ozarks Medical Center

  • General Acute Care Hospital
  • West Plains, MO
  • NPI 1831115641
  NPD (past)

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572912000000",
    "number": "1174533400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7188 N MAIN ST",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483461571",
            "telephone_number": "248-625-1600",
            "fax_number": "248-625-0239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7210 N MAIN ST",
            "address_2": "SUITE 200",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483461575",
            "telephone_number": "248-625-1600",
            "fax_number": "248-625-0239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRIJANIAN",
        "first_name": "ROSA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-09",
        "last_updated": "2019-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301047934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Millman Neurology PLLC
• Alan Millman, MD
• Annette Mills-McCoy, LMSW-C
• Ann Mills, RN
• Kristin Minnich, LMSW
• Miro-Clarkston
• Dianne Mishra
• Mission Point of Clarkston LLC
• Cassandra Mitchell
• MJL Therapy PLLC

• Internal Medicine Physician in Clarkston, MI
• Providers in Clarkston, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.