Organization Active NPI

Martin Quiroga PC

  • Clinic/Center
  • Warren, MI
National Provider Identifier
1174849988
Registry record updated Aug 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
MARTIN QUIROGA PC
Practice address
27101 Schoenherr Rd Ste 200
Warren, MI 48088
Phone
(586) 806-6466
Fax
(586) 806-6395
NPI assigned
Apr 19, 2010
Last updated
Aug 31, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2018

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

Authorized official

Name
Martin Quiroga, D.O.NPI 1184814303
Title
President
Phone
(586) 806-6466

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
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

27101 Schoenherr Rd Ste 200
Warren, MI 48088

Mailing address

27101 Schoenherr Rd Ste 200
Warren, MI 48088-4730
Phone (586) 806-6466

Other practice location 1

28035 Southfield Rd Ste 100
Lathrup Village, MI 48076-2858
Phone (248) 996-8006

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100715000992 MI Part B Supplier - Clinic/Group Practice 3375675002 Receives reassigned benefits from 11 practitioners
Practice locations: Lathrup Village, MI; Saint Clair Shores, MI; Warren, MI

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

22150 Greenfield Rd
Ste 103
Oak Park, MI 48237
Phone (248) 804-5140

17251 W 12 Mile Rd
Ste 101
Southfield, MI 48076
Phone (248) 318-7494

13087 E 11 Mile Rd
Ste 200
Warren, MI 48088
Phone (586) 627-0034

27101 Schoenherr Rd
Ste 200
Warren, MI 48088
Phone (586) 754-5900

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 12

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": "1271635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535673600000",
    "number": "1174849988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27101 SCHOENHERR RD STE 200",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480884730",
            "telephone_number": "586-806-6466",
            "fax_number": "586-806-6395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27101 SCHOENHERR RD STE 200",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "48088",
            "telephone_number": "586-806-6466",
            "fax_number": "586-806-6395"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28035 Southfield Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Lathrup Village",
            "state": "MI",
            "postal_code": "480762858",
            "country_code": "US",
            "telephone_number": "248-996-8006",
            "fax_number": "248-996-8030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MARTIN QUIROGA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-19",
        "last_updated": "2018-08-31",
        "status": "A",
        "authorized_official_last_name": "QUIROGA",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-806-6466",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2018; 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.