Richard S Fine MD PC

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

4301035972 Issued in MI

Legal business name

RICHARD S FINE MD PC

Practice address

794 Canterbury Rd
Grosse Pointe Woods, MI 48236-1280

Phone

(586) 779-9710

Fax

(313) 290-2956

NPI assigned

Apr 27, 2010

Organization subpart

No

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

Authorized official

Name

Richard S Fine, MDNPI 1376566596

Title

Owner

Phone

(586) 779-9710

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard Sherman Fine, MD

  • Pulmonary Disease Physician
  • Grosse Pointe Woods, MI
  • NPI 1376566596
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1272326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701993600000",
    "number": "1174840417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "794 CANTERBURY RD",
            "city": "GROSSE POINTE WOODS",
            "state": "MI",
            "postal_code": "482361280",
            "telephone_number": "586-779-9710",
            "fax_number": "313-290-2956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "794 CANTERBURY RD",
            "city": "GROSSE POINTE WOODS",
            "state": "MI",
            "postal_code": "482361280",
            "telephone_number": "586-779-9710",
            "fax_number": "313-290-2956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD S FINE MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-27",
        "last_updated": "2023-12-08",
        "certification_date": "2023-12-08",
        "status": "A",
        "authorized_official_last_name": "FINE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-779-9710",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MI",
            "license": "4301035972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pulmonary Disease Physician in Grosse Pointe Woods, MI
• Providers in Grosse Pointe Woods, MI by specialty
• Pulmonary Disease Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2023; 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.