Imid Consultants PC

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

4301054621 Issued in MI

Legal business name

IMID CONSULTANTS PC

Practice address

2300 Haggerty
Ste 1190
W Bloomfield, MI 48322

Phone

(248) 229-6255

Fax

(248) 624-9825

NPI assigned

Jul 17, 2006

Organization subpart

No

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

Authorized official

Name

Miss Brenda Lee Luther

Title

Senior Biller

Phone

(248) 229-6255

Specialties & licenses 1

Addresses

Other identifiers 2

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.

• James J Gordon, M.D.

  • Infectious Disease Physician
  • Novi, MI
  • NPI 1144239559
  Medicare reassignment NPD

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194742940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 33321",
            "address_2": "DRAWER 110",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482325321",
            "telephone_number": "248-229-6255",
            "fax_number": "248-624-9825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 HAGGERTY",
            "address_2": "STE 1190",
            "city": "W BLOOMFIELD",
            "state": "MI",
            "postal_code": "48322",
            "telephone_number": "248-229-6255",
            "fax_number": "248-624-9825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMID CONSULTANTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LUTHER",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "SENIOR BILLER",
        "authorized_official_telephone_number": "248-229-6255",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "MI",
            "license": "4301054621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC",
            "identifier": "1106320881",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4474944",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Henry Ford W Bloomfiled Pharmacy
• Melvin Hoberman I, MA,LLP,CSW,CAC 1
• Holistic Healing Centers of Michigan Inc.
• David Horowitz, RPH
• Fariha Hussain
• Jessica Erin-Gershonowicz Jacobs, MSW
• Jeffrey Schwalb DPM PLLC
• Corinna Johnson, RD
• Ellen Kahn, N.D.
• Bineh-Karan Singh Kalra, MD

• Infectious Disease Physician in W Bloomfield, MI
• Providers in W Bloomfield, MI by specialty
• Infectious Disease Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.