Organization Active NPI

Carol M Fischer DO PLLC

  • Medical Specialty Clinic/Center
  • Mount Clemens, MI
National Provider Identifier
1174704985
Registry record updated Nov 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
5101015319 Issued in MI
Legal business name
CAROL M FISCHER DO PLLC
Practice address
1030 Harrington St
Suite 201
Mount Clemens, MI 48043-2967
Phone
(586) 493-3880
Fax
(586) 493-3883
NPI assigned
Nov 20, 2007
Last updated
Nov 19, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2008

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

Authorized official

Name
Kim Marie Graleski
Title
Biller/ Office Manager
Phone
(586) 493-3880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 5101015319 MI Primary

Addresses

Primary practice location

1030 Harrington St
Suite 201
Mount Clemens, MI 48043-2967

Mailing address

1030 Harrington St
Suite 201
Mount Clemens, MI 48043-2967
Phone (586) 493-3880

National Provider Directory

National Provider Directory

Locations

1030 Harrington St
Ste 201
Mount Clemens, MI 48043
Phone (586) 493-1588

Practitioners & affiliated clinicians

Practitioners 1

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": "1195516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227052800000",
    "number": "1174704985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 HARRINGTON ST",
            "address_2": "SUITE 201",
            "city": "MOUNT CLEMENS",
            "state": "MI",
            "postal_code": "480432967",
            "telephone_number": "586-493-3880",
            "fax_number": "586-493-3883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 HARRINGTON ST",
            "address_2": "SUITE 201",
            "city": "MOUNT CLEMENS",
            "state": "MI",
            "postal_code": "480432967",
            "telephone_number": "586-493-3880",
            "fax_number": "586-493-3883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROL M FISCHER DO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-20",
        "last_updated": "2008-11-19",
        "status": "A",
        "authorized_official_last_name": "GRALESKI",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "BILLER/ OFFICE MANAGER",
        "authorized_official_telephone_number": "586-493-3880"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "MI",
            "license": "5101015319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Clemens, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2008; 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.