Advanced Imaging of Michigan

Primary specialty

SpecialistTaxonomy code 174400000X

License

RF006368 Issued in MI

Legal business name

ADVANCED IMAGING OF MICHIGAN

Practice address

7092 Highland Rd PMB 205
Waterford, MI 48327-1502

Phone

(248) 889-9282

Fax

(248) 889-7534

NPI assigned

Sep 20, 2006

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Roger Fenton, MD

Title

Director/Ceo

Phone

(248) 889-9282

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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.

• Michael Belitz, PA C

  • Medical Physician Assistant
  • Waterford, MI
  • NPI 1770691073
  NPD (past)
• Michele R Ritter, MD

  • Family Medicine Physician
  • Waterford, MI
  • NPI 1780616540
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1174621783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7092 HIGHLAND RD PMB 205",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483271502",
            "telephone_number": "248-889-9282",
            "fax_number": "248-889-7534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7092 HIGHLAND RD PMB 205",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483271502",
            "telephone_number": "248-889-9282",
            "fax_number": "248-889-7534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED IMAGING OF MICHIGAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "FENTON",
        "authorized_official_first_name": "ROGER",
        "authorized_official_title_or_position": "DIRECTOR/CEO",
        "authorized_official_telephone_number": "248-889-9282",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MI",
            "license": "RF006368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MI LICENSE",
            "identifier": "RF006368",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Absolute Bliss Care LLC
• Joseph Lyle Acciaioli, RPH
• Brigitte Nicole Acosta, PA-C
• Sylwia Maria Adamczyk
• Adrian S Gaviglio DC PC (Waterford Life Chiropractic Clinic)
• Advanced Psychiatric Interventions
• Afresh Dental PLLC
• Aging in My Place Mobility Services LLC
• Eberechukwu Agulanna, PMHNP-BC
• Alexandra Aharonov, CCC-SLP

• Specialist in Waterford, MI
• Providers in Waterford, MI by specialty
• Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.